Donelle Lee Odren, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005793 Issued in WA

Practice address

11915 E Broadway Ave Ste 100
Spokane Valley, WA 99206-4997

Phone

(509) 921-7818

Fax

(509) 891-0456

NPI assigned

Jul 25, 2006

Last updated

Oct 31, 2011By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Northwest Therapy Resources, P.S.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1811175268
  Authorized official Same address or phone
• NKS Rehab PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1700062890
  NPD (past)
• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)
• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1669495594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-921-7818",
            "fax_number": "509-891-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 E BROADWAY AVE STE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064997",
            "telephone_number": "509-921-7818",
            "fax_number": "509-891-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODREN",
        "first_name": "DONELLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669495594",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010173043",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occ Med Two Spokane PLLC (Goodworks)
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)
• Lisa Nicole Odom
• Michael Ryan Odom, M.D.
• Erin Ogden
• Teresa M Ogden, ARNP
• Nils W. Ohlsen, O.D.
• Jephline Okoth, PMHNP-BC
• Ashley Olivarez

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.