Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ida Mangrem, PTA

Individual provider Physical Therapy Assistant · NPI 1639449648

Ida Mangrem, PTA is a Physical Therapy Assistant in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2525 N Grandview Ave Ste 400
Odessa, TX 79761-1600
Phone: (432) 550-4700
Fax: (432) 550-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2083203 (TX)

Record details

NPI number1639449648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012

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