SIDRAH ODOM (NPI# 1922343136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922343136 |
| Entity Type | Individual |
| Full Name | SIDRAH ODOM |
| Practice Address |
1833 Clifton Rd Ne Atlanta GA 30329-4021 |
| Practice Telephone | 6784854273 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA002279 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1833 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485989 | Wesley Woods Center of Emory University, Inc | Skilled Nursing Facility | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2006-10-25 |
| 1285256016 | Melvin Oliver | Occupational Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2020-05-14 |
| 1811392996 | Margaret Wood | Speech-Language Pathologist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2014-10-30 |
| 1417372483 | Elena Cabb | Internal Medicine | 1833 Clifton Rd Ne, Atlanta, GA 30329 | 2014-02-27 |
| 1780012971 | Caitlin H Stitt | Occupational Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2013-10-24 |
| 1134555147 | Andrew Stephen Bir | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2013-09-23 |
| 1063757342 | Lara Randle Dean | Speech-Language Pathologist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-28 |
| 1053655324 | Raoul J Roaquin | Physical Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-26 |
| 1881938165 | Cristian Constantin | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-26 |
| 1699019968 | Joseph K Arthur | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164084471 | Malik Cooper | Physical Therapy Assistant | 3355 Cascade Rd Sw Ste 102, Atlanta, GA 30311-3679 | 2019-07-08 |
| 1518430610 | Rawdrinicka Lashae Thomas | Physical Therapy Assistant | 1993 Bent Creek Way Sw Apt H101, Atlanta, GA 30311-5808 | 2019-01-10 |
| 1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
| 1013424977 | Karen Viviana Chavez | Physical Therapy Assistant | 6 Concourse Pkwy Ste 1100, Atlanta, GA 30328-5359 | 2018-01-01 |
| 1164945721 | Danielle Christine Mont | Physical Therapy Assistant | 508 Sw 3rd St, Atlanta, IL 61723-7509 | 2017-07-25 |
| 1467833541 | Lindsey Martindill | Physical Therapy Assistant | 3897 Captain Dr, Atlanta, GA 30341-1869 | 2015-06-15 |
| 1336532191 | Travis Franklin | Physical Therapy Assistant | 1005 Virginia Ave, Atlanta, GA 30354-1326 | 2015-03-17 |
| 1275926602 | Amy Middleton | Physical Therapy Assistant | 4795 Fulton Industrial Blvd Sw, Atlanta, GA 30336-2000 | 2015-03-10 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| 1073904587 | Yolanda Trenett Jackson | Physical Therapy Assistant | 400 Embassy Row, Suite 125, Atlanta, GA 30328-1667 | 2015-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.