NPIMap

Organization Active NPI

Omnihealth Medical Group

  • Specialist
  • Concord, NC
National Provider Identifier
1396086138
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8452 Issued in NC
Legal business name
OMNIHEALTH MEDICAL GROUP
Practice address
70 Lake Concord Rd NE
Suite 100
Concord, NC 28025-3057
Phone
(704) 784-4445
Fax
(704) 784-4335
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Laura Englert Sabatino, PT
Title
PT Supervisor
Phone
(704) 784-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8452 NC Primary

Addresses

Primary practice location

70 Lake Concord Rd NE
Suite 100
Concord, NC 28025-3057

Mailing address

70 Lake Concord Rd NE
Suite 100
Concord, NC 28025-3057
Phone (704) 784-4445

National Provider Directory

National Provider Directory
Tax ID family
Omnihealth Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1396086138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD RD NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-784-4445",
            "fax_number": "704-784-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD RD NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-784-4445",
            "fax_number": "704-784-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIHEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "SABATINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ENGLERT",
        "authorized_official_title_or_position": "PT SUPERVISOR",
        "authorized_official_telephone_number": "704-784-4445",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "8452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.