NPIMap

Organization Active NPI

Omni Therapy

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1093872491
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OMNI THERAPY
Practice address
19224 Green Heron Dr
Baton Rouge, LA 70817-3972
Phone
(225) 478-4471
Fax
(866) 584-3939
NPI assigned
Jan 3, 2007
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Megan Mackay
Title
Office Manager
Phone
(225) 478-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

19224 Green Heron Dr
Baton Rouge, LA 70817-3972

Mailing address

19224 Green Heron Dr
Baton Rouge, LA 70817-3972
Phone (225) 478-4471

Other names 1

  • Physical Therapy Specialists of Baton Rouge Former legal business name

National Provider Directory

National Provider Directory

Locations

12520 Perkins Rd
Ste 104
Baton Rouge, LA 70810

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1093872491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19224 GREEN HERON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708173972",
            "telephone_number": "225-478-4471",
            "fax_number": "866-584-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19224 GREEN HERON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708173972",
            "telephone_number": "225-478-4471",
            "fax_number": "866-584-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-478-4471"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Specialists of Baton Rouge",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.