TIMOTHY O'DELL PUCKETT DPT NPI 1184910507

NPI Information

NPI: 1184910507
Provider Name: TIMOTHY O'DELL PUCKETT, DPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
7007 BANDERA RD STE 3
LEON VALLEY, TX
ZIP 78238
Phone: (210) 387-6993
Get Directions

Timothy O'dell Puckett, DPT is an orthopedic physical therapist in Leon Valley, TX. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Timothy O'dell Puckett, DPT NPI is 1184910507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7007 BANDERA RD STE 3
LEON VALLEY, TX
ZIP 78238-264
Phone: (210) 387-6993
Fax: (210) 855-2542

The enumeration date for this NPI number is 6/23/2011 and was last updated on 5/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		1206227	TEXAS	No
2	2251S0007X	Physical Therapist	Sports	1206227	TEXAS	No
3	2251X0800X	Physical Therapist	Orthopedic	1206227	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12284562	OTHER	TEXAS	CAQH
2	867T19	OTHER	TEXAS	BCBSTX
3	290438501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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