SAMUEL KEVIN ODUM DPT
NPI 1851136147
Physical Therapist in Douglasville, GA

Active since June 27, 2024Accepts Medicare Assignment
2983 CHAPEL HILL RD STE 106, DOUGLASVILLE, GA 30135(770) 947-8177(770) 947-8377 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Kevin Odum Dpt NPPES

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

SAMUEL KEVIN ODUM DPT (NPI 1851136147) is an individual physical therapist in Douglasville, Georgia, licensed in Georgia (PT017179) and active in the NPI registry since June 2024. He maintains 3 additional practice locations and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851136147
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL KEVIN ODUMCredential: DPT
Location Address2983 CHAPEL HILL RD STE 106Douglasville, GA 30135-1767
Mailing Address2000 Mirror Lake Blvd Ste SVilla Rica, GA 30180-2126 · (770) 456-7877 · Fax (770) 456-7880
Fax(770) 947-8377
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
NPI 1851136147 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 · PT017179
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.
2983 CHAPEL HILL RD STE 106, Douglasville, GA 30135

Secondary Practice Locations 3

Location 1120 Cunningham Dr Ste FCarrollton, GA 30117-2818 · Phone (678) 664-1467
Location 2500 Nathan Dean Blvd Ste 108Dallas, GA 30157-4912 · Phone (678) 402-7770
Location 32000 Mirror Lake Blvd Ste SVilla Rica, GA 30180-2126 · Phone (770) 456-7877

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Kevin Odum Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810435914
PECOS Enrollment IDI20240821000433

Areas of Expertise CMS Part B claims 4

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 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.
288 services20 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
167 services17 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
145 services20 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
43 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
2983 CHAPEL HILL RD STE 106
DOUGLASVILLE, GA 30135
Physical Therapist
2983 CHAPEL HILL RD STE 106
DOUGLASVILLE, GA 30135

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 Samuel Odum's NPI number?

The NPI number for Samuel Odum is 1851136147. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Samuel Odum located?

Samuel Odum practices at 2983 Chapel Hill Rd Ste 106, Douglasville, GA 30135. The listed phone number is (770) 947-8177.

What is Samuel Odum's specialty?

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

Is Samuel Odum enrolled in Medicare?

Yes. Samuel Odum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Odum was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.