Organization
PARADIGM PHYSICAL THERAPY & SPORTS SCIENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H DODSON PT, DSC, OCS, CHT (PHYSICAL THERAPIST,OWNER)
(432) 580-3300
Entity
Organization
Contact information
Practice address
701 N GRANT AVE, ODESSA, TX 79761-4504
(432) 580-3300
(432) 580-0505
Mailing address
701 N GRANT AVE, ODESSA, TX 79761-4504
(432) 580-3300
(432) 580-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1072692
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
613030000
TX
332B00000X
Durable Medical Equipment & Medical Supplies
0039729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060DL
BCBS
TX
01
—
021716801
MEDICAID (SECONDARY)
TX
01
—
062884401
MEDICAID (PRIMARY)
TX
01
—
144906801
MEDICAID DME
TX
01
—
144906802
MEDICAID DME
TX
01
—
456783
MEDICARE
TX
Enumeration date
03/26/2007
Last updated
07/15/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us