Rebecca Michelle Ommedal

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1291 Cedar Shoals Dr,
Athens, GA 30605

Phone

(865) 392-2865

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1013693894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 CEDAR SHOALS DR,",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 CEDAR SHOALS DR,",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605",
            "telephone_number": "865-392-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMMEDAL",
        "first_name": "REBECCA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Olson, LPC
• Tobi Caleb Olusakin
• Diana Olvera Torres
• Om Healthcare LLC (Georgia Acute Medical Services)
• Eunice Kosisochukwu Omeludike, M.D.
• On My Watch II, Inc.
• On My Watch Inc
• Nwamaka M Onuigbo, M. D.
• Maureen Ugochi Onweni-Eze, MD
• Open MRI of Georgia, Inc (Open MRI & Imaging of Athens)

• Physical Therapy Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.