Odyssey Pediatric Therapy Specialists, Llc

LBN: Odyssey Pediatric Therapy Specialists, Llc
Odyssey Pediatric Therapy Specialists, Llc is an health care organization with primary practice located at 1031 W Sanetta St , Nampa ID 83651-5047. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Odyssey Pediatric Therapy Specialists, Llc can be contacted via phone (208) 910-2360, or through Bawden, Derek via phone (801) 815-4105.

Contact Information

Primary practice address
1031 W Sanetta St Nampa ID 83651-5047
Phone: (208) 910-2360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bawden, Derek MOT, OTR/L
Phone: (801) 815-4105

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1043949696
LBN Legal business name Odyssey Pediatric Therapy Specialists, Llc
DBA Doing business as
Authorized official Bawden, Derek MOT, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 30th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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