North Texas Injury and Wellness PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NORTH TEXAS INJURY AND WELLNESS PLLC

Practice address

6431 Southwest Blvd
Benbrook, TX 76132-2777

Phone

(817) 738-9777

Fax

(817) 738-9779

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Timothy E Odom, DCNPI 1952320756

Title

Owner

Phone

(817) 723-4441

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy E Odom, D. C.

  • Orthopedic Chiropractor
  • Fort Worth, TX
  • NPI 1952320756
  Medicare reassignment NPD Authorized official
• Mark H Bussell, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1922041599
  Medicare reassignment NPD
• Jennifer Lee Savage, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1215444104
  Medicare reassignment NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1700428901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 DAKBEND TRAIL",
            "address_2": "SUITE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323926",
            "telephone_number": "817-346-7800",
            "fax_number": "817-346-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761322777",
            "telephone_number": "817-738-9777",
            "fax_number": "817-738-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS INJURY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-723-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons Kenshire (New Horizons)
• New Horizons Sunridge (New Horizons New Horizons Red Bird New Horizons Kenshire)
• Rose Ngishu, MD
• Melanie Nieswiadomy, LCSW-S
• Cynthia Nolan, P.T.
• Northstar Pharmacy LLC (Northstar Pharmacy)
• Nkechi Victoria Nwagbara, AUD
• Brenda Nyambweke, FNP
• Melanie Olivarri
• Erin Rae Olsen, PTA

• Physical Medicine & Rehabilitation Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.