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

Samuel Kevin Odum, DPT

Individual provider Physical Therapist · NPI 1851136147

Samuel Kevin Odum, DPT is a Physical Therapist in Private Practice in Douglasville, Georgia. Qualified in 2024, 2 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2983 Chapel Hill Rd Ste 106
Douglasville, GA 30135-1767
Phone: (770) 947-8177
Fax: (770) 947-8377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 120 Cunningham Dr Ste F, Carrollton, GA 30117-2818 — (678) 664-1467
  • 500 Nathan Dean Blvd Ste 108, Dallas, GA 30157-4912 — (678) 402-7770
  • 2000 Mirror Lake Blvd Ste S, Villa Rica, GA 30180-2126 — (770) 456-7877

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017179 (GA)

Record details

NPI number1851136147
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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