Organization
512 PHYSICAL THERAPY AND GOLF PERFORMANCE CENTER
Active
Organization
512 PHYSICAL THERAPY AND GOLF PERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEROME ODELL PT (OWNER)
(512) 699-2162
Entity
Organization
Contact information
Practice address
4425 S MOPAC EXPY STE 101, AUSTIN, TX 78735-6710
(512) 669-2162
(512) 572-3272
Mailing address
8304 ALOPHIA DR, AUSTIN, TX 78739-1999
(512) 699-2162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Enumeration date
08/22/2016
Last updated
03/03/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up