Vincent Paul San Luis Omictin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1356635 Issued in TX

Practice address

1314 Osnats PT
San Antonio, TX 78258-6931

Phone

(323) 394-2325

NPI assigned

Mar 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Star Nickel Corp

  • Physical Therapist
  • San Antonio, TX
  • NPI 1275376816
  NPD Authorized official
• Star Nickel Corp

  • Physical Therapist
  • San Antonio, TX
  • NPI 1619816006
  NPD Authorized official
• Valiance Speech-Language Pathology PLLC

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1639024979

  Physical Therapist

  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1043603814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 OSNATS PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586931",
            "telephone_number": "323-394-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 OSNATS PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586931",
            "telephone_number": "323-394-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMICTIN",
        "first_name": "VINCENT PAUL",
        "middle_name": "SAN LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26939",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19350",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119077",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1356635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega Southwest, PLLC
• Charles Eugene Omeis
• Otitodilichukwu Omeludike, APRN, PMHNP
• Virtue Ebohi Omere, D.D.S
• Marie E Omesiete
• Oluwatoke Omotola Omiwade, DO
• Omni Layne Counseling, PLLC
• Omni Spine Care PLLC
• Omni Vision III (Omni Vision)
• Omni-Allcarehome Services LLC

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.