ODELL ANDERSON JR. PT
NPI 1710549423
Physical Therapist in Fayetteville, GA

Active since July 02, 2019
290 HIGHWAY 314 STE B, FAYETTEVILLE, GA 30214(404) 994-7727 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Odell Anderson Jr. Pt NPPES

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

ODELL ANDERSON JR. PT (NPI 1710549423) is an individual physical therapist in Fayetteville, Georgia, licensed in Georgia (PT014062) and active in the NPI registry since July 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1710549423
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameODELL ANDERSON JR.Credential: PT
Location Address290 HIGHWAY 314 STE BFayetteville, GA 30214-7813
Mailing Address290 Highway 314 Ste BFayetteville, GA 30214-7813 · (404) 994-7727
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2019
✔ NPI 1710549423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT014062
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
290 HIGHWAY 314 STE B, Fayetteville, GA 30214

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odell Anderson Jr. Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305271214
PECOS Enrollment IDI20200123001719

Medicare Billing Reassignments

5

Medicare enrollment records show Odell Anderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group
Physical Therapist
2221 PEACHTREE RD NE, STE D336
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 51 clinicians in this Medicare group
Physical Therapist
1729 GENESIS DR
Dublin, GA 31021
  • Reassigned Medicare billing, Georgia enrollment
Physical Medicine & Rehabilitation
4B MEDICAL PARK DR
Pomona, NY 10970
  • Reassigned Medicare billing, Georgia enrollment
  • 15 clinicians in this Medicare group
Holistic Occupational And Physical Therapy LLC
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
929 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
22 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
11 services11 patients

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.

Behavior Technician
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Occupational Therapist
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Behavior Analyst
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Medical Genetics, Ph.D. Medical Genetics
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Occupational Therapist
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Occupational Therapist
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Physical Therapy Assistant
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214
Speech-Language Pathologist
290 HIGHWAY 314 STE B
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odell Anderson's NPI number?

The NPI number for Odell Anderson is 1710549423. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Odell Anderson located?

Odell Anderson practices at 290 Highway 314 Ste B, Fayetteville, GA 30214. The listed phone number is (404) 994-7727.

What is Odell Anderson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Odell Anderson enrolled in Medicare?

Yes. Odell Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Odell Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odell Anderson reassigns Medicare benefits to 5 organizations: Georgia Luna Care Physical Therapy LLC (Atlanta, GA), Integrated Therapy LLC (Atlanta, GA), A Plus Physical Therapy (Dublin, GA), Stern At Home Physical Therapy PC (Pomona, NY) and Holistic Occupational And Physical Therapy LLC (GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Odell Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odell Anderson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Odell Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odell Anderson was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.