Organization Active NPI

Odyssey Performance Physical Therapy, Inc.

  • Sports Physical Therapist
  • Emeryville, CA
National Provider Identifier
1932062973
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
ODYSSEY PERFORMANCE PHYSICAL THERAPY, INC.
Practice address
1447 Park Ave
Emeryville, CA 94608-3519
Phone
(510) 380-8574
NPI assigned
Dec 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Ki Cheng, DPTNPI 1407416910
Title
President
Phone
(407) 754-8220

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
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

1447 Park Ave
Emeryville, CA 94608-3519

Mailing address

1447 Park Ave
Emeryville, CA 94608-3519
Phone (510) 380-8574

National Provider Directory

National Provider Directory

Locations

1447 Park Ave
Emeryville, CA 94608
Phone (510) 380-8574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1932062973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 PARK AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083519",
            "telephone_number": "510-380-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 PARK AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083519",
            "telephone_number": "510-380-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PERFORMANCE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-754-8220",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.