ODOM SPORTS MEDICINE, P.A.
NPI 1275557886
Family Medicine - Sports Medicine in Eden Prairie, MN

Q: What is Odom Sports Medicine, P.A.'s NPI number?

The NPI number for Odom Sports Medicine, P.A. is 1275557886. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Odom Health & Wellness.

Q: What is Odom Sports Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since July 27, 2006

6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344(952) 224-1919(612) 999-1943 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 23, 2024, Jul 13, 2020 and 1 more (4 updates tracked since 2020).

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About Odom Sports Medicine, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODOM SPORTS MEDICINE, P.A. (NPI 1275557886), doing business as Odom Health & Wellness, is a healthcare organization registered as a sports medicine in Eden Prairie, Minnesota and active in the NPI registry since July 2006. The organization lists Caitlyn Larsen, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1275557886

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameODOM SPORTS MEDICINE, P.A.

Location Address6545 FLYING CLOUD DR STE 201Eden Prairie, MN 55344-3356

Mailing Address6545 Flying Cloud Dr Ste 201Eden Prairie, MN 55344-3356 · (952) 224-1919 · Fax (612) 999-1943

Phone(952) 224-1919

Fax(612) 999-1943

Organization SubpartNo

Authorized OfficialCaitlyn LarsenBilling Supervisor · (612) 619-8674

Enumeration DateJuly 27, 2006

Last NPPES UpdateApril 29, 20264 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1275557886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

6545 FLYING CLOUD DR STE 201, Eden Prairie, MN 55344

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Other Names 1

Doing Business AsOdom Health & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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