Odessa Seyl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1350367 Issued in TX

Practice address

1645 Angelina Rd
Kaufman, TX 75142-4369

Phone

(214) 924-4937

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Odessa Fortner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Green Apple LLC

  • Home Health Agency
  • Irving, TX
  • NPI 1306170576
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1821828401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382444",
            "telephone_number": "877-688-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 ANGELINA RD",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751424369",
            "telephone_number": "214-924-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYL",
        "first_name": "ODESSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1350367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODESSA",
            "last_name": "FORTNER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Leigh Russell, LPC
• Samantha White LPC LLC
• Alexandra Edith Samarripa, RD
• Cecilia Sanchez, CD (DONA)
• Sally K Sandlin, ST
• Mark W Sij, D.O.
• Tanya Sij, RNC
• Timothy Allen Sloan, D.D.S.
• Denise C Smith, LPC-S
• Speech Pathology Services PLLC

• Physical Therapist in Kaufman, TX
• Providers in Kaufman, 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 7, 2024; 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.