Individual provider Active NPI

Karen Lynne Odom, P.T., M.O.M.T

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1770572455
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000003363 Issued in TN
Practice address
4777 Andrew Jackson Pkwy Ste 101a-B
Hermitage, TN 37076-1323
Phone
(615) 292-0199
Fax
(615) 292-0357
NPI assigned
Oct 17, 2005
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 PT0000003363 TN Primary

Addresses

Primary practice location

4777 Andrew Jackson Pkwy Ste 101a-B
Hermitage, TN 37076-1323

Mailing address

PO Box 40525
Nashville, TN 37204-0525
Phone (615) 292-2209

Other identifiers 2

IdentifierTypeStateIssuer
3646097OtherTNPTAN
4126438OtherTNBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000224 TN Practitioner - Physical Therapist in Private Practice 3779503735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4777 Andrew Jackson Pkwy
Hermitage, TN 37076-1323
Phone (615) 292-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3363TNMDClinical Psychologist
PT0000003363TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Solutions Physical Therapy, LLC CurrentSince Jun 29, 2006 Accepting new patients
Susan Underwood Physical Therapy PastSince Sep 20, 2005 Accepting new patients

Locations

2300 21st Ave S
Ste 303
Nashville, TN 37212
Phone (615) 292-0199

Organizations & group practices 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1770572455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40525",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372040525",
            "telephone_number": "615-292-2209",
            "fax_number": "615-292-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 ANDREW JACKSON PKWY STE 101A-B",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761323",
            "telephone_number": "615-292-0199",
            "fax_number": "615-292-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "credential": "P.T., M.O.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3646097",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "4126438",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.