Bryan Edward Oden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1112266 Issued in TX

Practice address

110 E Live Oak St
Austin, TX 78704-4355

Phone

(512) 448-4599

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1811046774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 TINMOUTH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483954",
            "telephone_number": "512-731-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E LIVE OAK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044355",
            "telephone_number": "512-448-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "BRYAN",
        "middle_name": "EDWARD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1112266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oddny LLC
• Erin Nichole Oddo, PA-C
• Aman Mohammed Odeh, M.D.
• Violet Ashley Odeh, FNP-C
• Lacey Shannon Odell, PT, DPT
• John David Odette, MD
• Sarah Odeyomi, MD
• Amy Marie Odin, LCSW
• Mariyan Lynn Odisho, RDN
• Deborah Jean Odonnell, COTA

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.