Omni Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OMNI PHYSICAL THERAPY

Practice address

905 W Jericho Tpke
Smithtown, NY 11787-3218

Phone

(631) 543-2227

Fax

(631) 543-1223

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Matthew NiemannNPI 1427116821

Title

Physical Therapist

Phone

(631) 543-2227

Specialties & licenses 1

Addresses

Locations

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.

• Kirk Matthew Niemann, PHYSICAL THERAPIST

  • Physical Therapist
  • Smithtown, NY
  • NPI 1427116821
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528125630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHURCHILL LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874014",
            "telephone_number": "631-543-2227",
            "fax_number": "631-543-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873218",
            "telephone_number": "631-543-2227",
            "fax_number": "631-543-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEMANN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-543-2227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Olesuk, PHARMD
• Chrystyne Olivieri, DNP
• Thomas J Olivo, LCSW
• Kevin F Olson II, MD
• Omni Medical 360 PLLC
• Oprx #11787, LLC (OnPoint Pharmacy of Smithtown)
• Optima Care Smithtown LLC
• Optimum Care Family Medicine, LLC
• Optimum Care Family Medicine, LLC
• Optimum Mens Health LLC

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.