NPIMap

Organization Active NPI

Omni Physical Therapy, LLC

  • Physical Therapist
  • Des Peres, MO
National Provider Identifier
1184877672
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000167619 Issued in MO
Legal business name
OMNI PHYSICAL THERAPY, LLC
Practice address
13314 Manchester Rd
Des Peres, MO 63131-1709
Phone
(314) 775-0183
Fax
(314) 775-0190
NPI assigned
Oct 28, 2008
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mrs. Hunter Knight, PT
Title
President
Phone
(314) 775-0183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2000167619 MO Primary

Addresses

Primary practice location

13314 Manchester Rd
Des Peres, MO 63131-1709

Mailing address

1000 Des Peres Rd
Ste. 130
Saint Louis, MO 63131-2050
Phone (314) 775-0183

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.omnipt.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1000 Des Peres Rd
Ste 130
Saint Louis, MO 63131
Phone (314) 755-0183

13314 Manchester Rd
Saint Louis, MO 63131
Phone (314) 775-0183

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1184877672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "STE. 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-775-0183",
            "fax_number": "314-775-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13314 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311709",
            "telephone_number": "314-775-0183",
            "fax_number": "314-775-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-775-0183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000167619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.omnipt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "informational",
            "address_1": "13314 Manchester Rd",
            "city": "Des Peres",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631311709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.