Odyssey Pediatric Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ODYSSEY PEDIATRIC THERAPY, LLC

Practice address

2989 Broadmoor Valley Rd
Suite D
Colorado Springs, CO 80906-4403

Phone

(719) 283-1406

Fax

(719) 249-5834

NPI assigned

Jun 26, 2022

Organization subpart

Yes

Parent organization

ODYSSEY PEDIATRIC THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Anthony Andriano

Title

President

Phone

(719) 467-7018

Specialties & licenses 1

Addresses

Tax ID family

Odyssey Pediatric Therapy LLC3 organizations share this tax ID, including this one

Part of

Odyssey Pediatric Therapy LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Odyssey Pediatric Therapy, LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1568109064
  NPD tax ID
• Odyssey Pediatric Therapy, LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1750994224
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Odyssey Pediatric Therapy, LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1750994224
  NPPES parent name

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1497487888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13931 SIERRA STAR CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212976",
            "telephone_number": "719-283-1406",
            "fax_number": "719-249-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 BROADMOOR VALLEY RD",
            "address_2": "SUITE D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064403",
            "telephone_number": "719-283-1406",
            "fax_number": "719-249-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODYSSEY PEDIATRIC THERAPY, LLC",
        "enumeration_date": "2022-06-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ANDRIANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-467-7018"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas I Oduah, DNP, PMHNP-BC
• Temitayo Odulaja
• Brittany Odum
• Odyssey Behavior Company LLC
• Odyssey Healthcare Operating a LP
• Odyssey Pediatric Therapy, LLC
• Odyssey Pediatric Therapy, LLC
• Erin Oertli, LPC, NCC
• William Oesterle, LCSW
• Marc J Ofchinick

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.