Active NPI
Leigh A. Odell, PT
- Physical Therapist
- Hurricane, WV
National Provider Identifier
1780667311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002378
- Practice address
- 3910 Teays Valley Rd
Hurricane, WV 25526-9756 - Phone
- (304) 757-7293
- Fax
- (304) 757-0574
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- 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 | 002378 | WV | Primary |
Addresses
Primary practice location
3910 Teays Valley Rd
Hurricane, WV 25526-9756
Mailing address
3910 Teays Valley Rd
Hurricane, WV 25526-9756
Phone (304) 757-7293
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002378 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT, Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1780667311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269756",
"telephone_number": "304-757-7293",
"fax_number": "304-757-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269756",
"telephone_number": "304-757-7293",
"fax_number": "304-757-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "LEIGH",
"middle_name": "A.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "002378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.