Vicki J. O'Dea, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

5972 Issued in OR

Practice address

2475 Lancaster Dr NE
Suite 4
Salem, OR 97305-4268

Phone

(503) 391-7788

Fax

(503) 391-6007

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1457671828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 47TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973053112",
            "telephone_number": "503-391-7788",
            "fax_number": "503-391-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LANCASTER DR NE",
            "address_2": "SUITE 4",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054268",
            "telephone_number": "503-391-7788",
            "fax_number": "503-391-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DEA",
        "first_name": "VICKI",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "5972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth O'Brien, MD
• Cari M. O'Connor, LCSW
• Dawn Alison O'Connor, F.N.P.
• Julie Marie O'Connor, LCSW
• Rosanne O'Connor, MSW, LCSW
• McKenzie O'Dell
• Kevin O'Donnell, DPT
• Kent O'Flaherty
• Christian O'Haire, PHD, CNM, RN
• Madeleine Paige O'Hare, DPT

• Mechanotherapist in Salem, OR
• Providers in Salem, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.