Michael Andrew Odell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT2934 Issued in CA

Practice address

3550 Churn Creek Rd
Redding, CA 96002-2718

Phone

(530) 722-8043

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629604947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 KINGSWOOD WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022718",
            "telephone_number": "530-722-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maodell@consonushealth.com",
            "affiliation": "Y",
            "affiliationName": "Consonus Healthcare",
            "address_1": "3550 Churn Creek Rd",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960022718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Obstetrics and Gynecology Medical Associates of Redding, Inc.
• Christine L Ochoa
• Edward David Ochoa
• Cathy L. Ochs, P.A.-C
• Daryl Eugene Odegard, RPH
• Emily Grace Odhiambo
• Christopher Thomas Ogden, RN, FNP
• Colleen Ogden
• Ohana Home Health LLC
• John Philip Ohara, L.AC. DIPL. OM

• Physical Therapy Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.