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

Odell Anderson Jr., PT

Individual provider Physical Therapist · NPI 1710549423

Odell Anderson Jr., PT is a Physical Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2019, 7 years ago. Offers telehealth. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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

290 Highway 314 Ste B
Fayetteville, GA 30214-7813
Phone: (404) 994-7727
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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 PT014062 (GA)

Record details

NPI number1710549423
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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