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

Mary Anne E Odaniel, PT

Individual provider Physical Therapist · NPI 1578052171

Mary Anne E Odaniel, PT is a Physical Therapist in Private Practice in Madisonville, Kentucky. Qualified in 2018, 8 years ago. Practices with Owensboro Health Medical Group Inc, a 456-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

444 S Main St
Madisonville, KY 42431
Phone: (270) 825-0069
Fax: (270) 824-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007430 (KY)
Physical Therapist Taxonomy 225100000X · Licence TP2018037 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578052171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESMarch 6, 2019
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Owensboro Health Medical Group Inc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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