Individual provider Active NPI

James Odom

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1699551713
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302908 Issued in MI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230918004035 MI Practitioner - Physical Therapist in Private Practice 0749644193 Reassigns benefits to 3 organizations

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
VMS of Macomb TWP LLCGroup PAC ID 7012072952, 22 clinicians

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 100Reported as group
Quality
92.16
Improvement activities
40
Cost
61.58

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
76.08
Improvement activities
40
Cost
61.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Physical Therapy and Wellness Center of Clarkston LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
HQ of West Bloomfield LLC Physical Therapist CurrentSince Sep 6, 2023 Accepting new patients
VMS of Macomb TWP LLC CurrentSince Sep 6, 2023 Accepting new patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Mar 13, 2025 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.

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.

Verify at the official NPI Registry.