Active NPI
James Odom
- Physical Therapist
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302908
- Practice address
- 4312 Orchard Lake Rd Ste 100
West Bloomfield, MI 48323-1637 - Phone
- (248) 788-6100
- NPI assigned
- Sep 5, 2023
- Last updated
- Sep 5, 2023
- Sex
- Male
- 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 | 5501302908 | MI | Primary |
Addresses
Primary practice location
4312 Orchard Lake Rd Ste 100
West Bloomfield, MI 48323-1637
Mailing address
1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4312 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48323-1637
Phone (248) 788-6100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.16 of 100
- Quality
- 92.16
- Improvement activities
- 40
- Cost
- 61.58
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.44 of 100
- Quality
- 76.08
- Improvement activities
- 40
- Cost
- 61.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthquest Physical Therapy and Wellness Center of Clarkston LLC | Physical Therapist | Current | Accepting new patients |
| HQ of West Bloomfield LLC | Physical Therapist | Current | Accepting new patients |
| VMS of Macomb TWP LLC | Current | Accepting new patients | |
| Michigan Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Healthquest Physical Therapy and Wellness Center LLC | Physical Therapist | Past | Accepting new patients |
| Trishard P.C. | Past | Accepting new patients |
Locations
2485 Coolidge Hwy
Berkley, MI 48072
Phone (248) 466-3030
31645 Southfield Rd
Beverly Hills, MI 48025
Phone (248) 564-3535
32 S Main St
Clarkston, MI 48346
Phone (248) 922-9001
22573 Hall Rd
Macomb, MI 48042
Phone (586) 231-0043
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
Organizations & group practices 6
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.
-
dba Healthquest Physical Therapy
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1750527438
-
dba HealthQuest Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Clarkston, MI
- NPI 1326328402
Physical Therapist
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1487027215
Physical Therapist
-
- Physical Therapy Clinic/Center
- Troy, MI
- NPI 1336344068
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1699551713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 STAR BATT DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093708",
"telephone_number": "248-601-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4312 ORCHARD LAKE RD STE 100",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231637",
"telephone_number": "248-788-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.