Organization Active NPI

Omnia Function LLC

Doing business as FWDfuel Health Optimization

  • Sports Dietetics Nutrition Registered Dietitian
  • Bay Village, OH
National Provider Identifier
1255210100
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
OMNIA FUNCTION LLC
Doing business as
FWDfuel Health Optimization
FWDfuel Sports Nutrition
FWDfuel Sports Nutrition & Physical Therapy
Practice address
533 Vineland Rd
Bay Village, OH 44140-2873
Phone
(419) 366-3163
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Michael K. E. Bogden, DPTNPI 1962813493
Title
Ceo and Co-Founder - PT
Phone
(419) 366-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1501X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

533 Vineland Rd
Bay Village, OH 44140-2873

Mailing address

533 Vineland Rd
Bay Village, OH 44140-2873
Phone (419) 366-3163

Other identifiers 4

IdentifierTypeStateIssuer
1740548452MedicaidOH
1497710149MedicaidOH
1962813493MedicaidOH
1538986153MedicaidOH

Other names 3

  • FWDfuel Health Optimization Doing business as
  • FWDfuel Sports Nutrition Doing business as
  • FWDfuel Sports Nutrition & Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1255210100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 VINELAND RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402873",
            "telephone_number": "419-366-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 VINELAND RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402873",
            "telephone_number": "419-366-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA FUNCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "BOGDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K. E.",
        "authorized_official_title_or_position": "CEO AND CO-FOUNDER - PT",
        "authorized_official_telephone_number": "419-366-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740548452",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497710149",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962813493",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538986153",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FWDfuel Health Optimization",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FWDfuel Sports Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FWDfuel Sports Nutrition & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.