Omer Hajjaj Wahla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303556 Issued in CA

Practice address

855 Howe Ave
Sacramento, CA 95825-3912

Phone

(844) 664-2248

NPI assigned

Jan 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WMS LLC

  • Physical Therapy Clinic/Center
  • Elk Grove, CA
  • NPI 1760275317
  NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1659180206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 HORNED LARK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578127",
            "telephone_number": "916-842-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253912",
            "telephone_number": "844-664-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLA",
        "first_name": "OMER",
        "middle_name": "HAJJAJ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Harold Wagoner, COUNSELOR
• Janet Annice Wagstaff
• Farah Wahbeh, MD
• Sabina Elizabeth Wahed
• Fakhria Wahidi
• Alexis Waine
• Alisa Waite
• Brandee Lynn Waite
• Jordan Waite, LMFT
• Larry Allen Waite

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.