Active NPI
Darlene A O'Dell, PT
- Physical Therapist
- Greenwich, NY
National Provider Identifier
1982909479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009259-1
- Practice address
- 1134 State Route 29
Greenwich, NY 12834-6107 - Phone
- (518) 692-9861
- Fax
- (518) 692-7947
- NPI assigned
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009259-1 | NY | Primary |
Addresses
Primary practice location
1134 State Route 29
Greenwich, NY 12834-6107
Mailing address
100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-2000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009259-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1982909479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014413",
"telephone_number": "518-926-2000",
"fax_number": "518-926-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 STATE ROUTE 29",
"city": "GREENWICH",
"state": "NY",
"postal_code": "128346107",
"telephone_number": "518-692-9861",
"fax_number": "518-692-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "DARLENE",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009259-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, NY
- Marc John Mercurio, RPH
- Kameron David Mosher
- Rebecca Niles, MS
- North Country Physical Therapy, PC
- North Country Sports Medicine PPLC
- Old Saratoga Optometry & Ophthalmic Dispensing, PLLC
- Old Saratoga Optometry & Ophthalmic Dispensing, PLLC
- Rose Marie Page, CCC-SLP
- William A Papura, DO
- Tricia J Pasos, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.