Omni Rehab Specialists, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

664450000 Issued in TX

Legal business name

OMNI REHAB SPECIALISTS, LLC

Practice address

118 S College Ave
Cleveland, TX 77327-4502

Phone

(281) 592-5579

Fax

(281) 592-8941

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Taylor Adam Heilers

Title

Managing Member

Phone

(281) 592-5579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Omni Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1154377547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274502",
            "telephone_number": "281-592-5579",
            "fax_number": "281-592-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274502",
            "telephone_number": "281-592-5579",
            "fax_number": "281-592-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI REHAB SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "HEILERS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-592-5579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "664450000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021745701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adaobi Obi
• Christiana Rose Obi, D.O
• Grace Ogwumike, PMHNP-BC
• Arthur N Ojionuka, PHD
• Latisha Oliver
• Chioma Doris Osemwengie
• Samir Ouais, MD
• Rajgopal R Pakanati, MD
• Georjene Parker, NP
• Dhaval J Patel

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.