Dixie L. Odum, CPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01076 Issued in KS

Practice address

801 Locust St
La Crosse, KS 67548-9673

Phone

(785) 222-3526

Fax

(785) 222-3478

NPI assigned

Oct 5, 2010

Last updated

Oct 5, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1871802074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "address_2": "611 PEACE STREET",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675480520",
            "telephone_number": "785-222-3526",
            "fax_number": "785-222-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LOCUST ST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675489673",
            "telephone_number": "785-222-3526",
            "fax_number": "785-222-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUM",
        "first_name": "DIXIE",
        "middle_name": "L.",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Crosse Usd 395
• Robert Ladd, MD
• Dodie Lane Martin, PA-C
• Ashley Moeder, PT, DPT
• Motion Matters Physical Therapy, LLC
• Barry A. Paige, DDS
• Rush County EMS
• Rush County Memorial Hospital
• Rush County Memorial Hospital
• Rush County Memorial Hospital

• Physical Therapy Assistant in La Crosse, KS
• Providers in La Crosse, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.