Individual provider Active NPI

Catherine Odorfer, PT, DPT

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1609208073
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10483 Issued in AZ
Practice address
3117 Stillwater Dr
Prescott, AZ 86305-7164
Phone
(928) 442-0005
Fax
(928) 442-0660
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10483 AZ Primary

Addresses

Primary practice location

3117 Stillwater Dr
Prescott, AZ 86305-7164

Mailing address

7607 N Deerfield Dr
Prescott, AZ 86305-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000261 AZ Practitioner - Physical Therapist in Private Practice 0941434054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Backways Physical Therapy, PLLCGroup PAC ID 6709856917, 8 clinicians

Practice addresses (Care Compare)

250 S McCormick St
Prescott, AZ 86303-4714
Phone (928) 777-8050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10483AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forte - Phoenix, PLLC Physical Therapist CurrentSince Oct 2, 2017 Accepting new patients
Backways Physical Therapy, PLLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Center for Physical Excellence Physical Therapist CurrentSince Aug 8, 2013 Accepting new patients

Locations

4455 E Camelback Rd
Ste D155
Phoenix, AZ 85018
Phone (480) 626-2444

250 S McCormick St
Prescott, AZ 86303
Phone (928) 710-6079

3117 Stillwater Dr
Prescott, AZ 86305
Phone (928) 442-0005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1609208073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 N DEERFIELD DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 STILLWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057164",
            "telephone_number": "928-442-0005",
            "fax_number": "928-442-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODORFER",
        "first_name": "CATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.