Organization Active NPI

Odyssey Physical Therapy

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1881348100
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ODYSSEY PHYSICAL THERAPY
Practice address
1130 Sandy Beach Rd
Las Cruces, NM 88005-4459
Phone
(191) 549-1508
NPI assigned
Feb 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Anna Marie Tucker, PTNPI 1497168447
Title
Physical Therapist/Owners
Phone
(915) 491-5089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1130 Sandy Beach Rd
Las Cruces, NM 88005-4459

Mailing address

1130 Sandy Beach Rd
Las Cruces, NM 88005-4459
Phone (191) 549-1508

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1881348100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SANDY BEACH RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880054459",
            "telephone_number": "191-549-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SANDY BEACH RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880054459",
            "telephone_number": "191-549-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNERS",
        "authorized_official_telephone_number": "915-491-5089",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.