Odom Sports Medicine, P.A.
NPI 1740625870 · Sports Medicine (Family Medicine) Physician · Waconia, MN
Odom Sports Medicine, P.A. is a Sports Medicine (Family Medicine) Physician organization in Waconia, MN (NPI 1740625870).
Provider details
- NPI number
- 1740625870
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Odom Sports Medicine, P.A.
- Organization subpart
- Yes
- Authorized official
- John Odom, President(952) 224-1919
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Odom Health and Wellness
Registry dates
- Enumerated
- 2013-05-02
- Last updated
- 2013-05-02
Frequently asked questions
- What is Odom Sports Medicine, P.A.'s NPI number?
- Odom Sports Medicine, P.A.'s National Provider Identifier (NPI) is 1740625870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Odom Sports Medicine, P.A.?
- Odom Sports Medicine, P.A. is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Odom Sports Medicine, P.A. located?
- Odom Sports Medicine, P.A.'s practice location on file with NPPES is 500 S Cherry St, Waconia, MN 55387-4515.
- What is Odom Sports Medicine, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Odom Sports Medicine, P.A. is (952) 856-4722.
- Who is the authorized official for Odom Sports Medicine, P.A.?
- The authorized official listed on Odom Sports Medicine, P.A.'s NPPES record is John Odom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Odom Sports Medicine, P.A.'s NPI active?
- Yes — Odom Sports Medicine, P.A.'s NPI (1740625870) is active in the NPPES registry as of the last update on 2013-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.