Individual provider Active NPI

Haley Renee Odle

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1952831075
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18896 Issued in NC
Practice address
218 Elkwood Ave Unit 103
Asheville, NC 28804-2247
Phone
(828) 684-3611
Fax
(828) 684-3612
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 09566R LA
Physical Medicine & Rehabilitation Physician 208100000X PTH8176 AL
Physical Medicine & Rehabilitation Physician 208100000X 2305210713 VA
Physical Therapist 225100000X P18896 NC Primary

Addresses

Primary practice location

218 Elkwood Ave Unit 103
Asheville, NC 28804-2247

Mailing address

218 Elkwood Ave Unit 103
Asheville, NC 28804-2247
Phone (828) 684-3611

Other practice location 1

1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (214) 442-4000

Other practice location 2

1201 Bleachery Blvd Ste 201
Asheville, NC 28803-8317
Phone (828) 684-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8176ALMDPhysical Medicine & Rehabilitation Physician
09566RLAMDPhysical Medicine & Rehabilitation Physician
2305210713VAMDPhysical Medicine & Rehabilitation Physician
P18896NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Healthcare Services, LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1952831075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ELKWOOD AVE UNIT 103",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042247",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ELKWOOD AVE UNIT 103",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042247",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Wittington Pl Ste 175",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752341905",
            "country_code": "US",
            "telephone_number": "214-442-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Bleachery Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038317",
            "country_code": "US",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODLE",
        "first_name": "HALEY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "09566R",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "PTH8176",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305210713",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.