Individual provider Active NPI

Devin Odvody, DPT

  • Orthopedic Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1720738123
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1348790 Issued in TX
Practice address
6410 S Padre Island Dr
Corpus Christi, TX 78412-4016
Phone
(361) 414-9092
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1348790 TX Primary

Addresses

Primary practice location

6410 S Padre Island Dr
Corpus Christi, TX 78412-4016

Mailing address

6410 S Padre Island Dr
Corpus Christi, TX 78412-4016
Phone (361) 414-9092

Other practice location 1

14701 S Padre Island Dr Ste 107
Corpus Christi, TX 78418-6261
Phone (361) 589-4480

Other identifiers 1

IdentifierTypeStateIssuer
1348790OtherTXTEXAS BOARD OF PHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1348790TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Training Room LLC CurrentSince Nov 10, 2019 Accepting new patients

Locations

14701 S Padre Island Dr
Ste 107
Corpus Christi, TX 78418
Phone (361) 589-4480

6410 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 414-9092

Organizations & group practices 1

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1720738123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124016",
            "telephone_number": "361-414-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124016",
            "telephone_number": "361-414-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14701 S Padre Island Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186261",
            "country_code": "US",
            "telephone_number": "361-589-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODVODY",
        "first_name": "DEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1348790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY",
            "identifier": "1348790",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.