Active NPI
Catherine Odorfer, PT, DPT
- Physical Therapist
- Prescott, AZ
National Provider Identifier
1609208073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10483
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10483 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forte - Phoenix, PLLC | Physical Therapist | Current | Accepting new patients |
| Backways Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Center for Physical Excellence | Physical Therapist | Current | 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.
-
- Physical Therapist
- Prescott, AZ
- NPI 1417906025
-
- Physical Therapist
- Prescott, AZ
- NPI 1093768020
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.