Omega Rehab & Mobility LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

OMEGA REHAB & MOBILITY LLC

Practice address

155 S Rohlwing Rd
Addison, IL 60101-3027

Phone

(630) 414-1909

Fax

(630) 797-5745

NPI assigned

Feb 7, 2022

Last updated

Feb 7, 2022By 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. Jeyaraj Valentine David, ATP

Title

Rehab & Mobility Specialist

Phone

(630) 414-1909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1669126835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S ROHLWING RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013027",
            "telephone_number": "630-414-1909",
            "fax_number": "630-797-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S ROHLWING RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013027",
            "telephone_number": "630-414-1909",
            "fax_number": "630-797-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA REHAB & MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "JEYARAJ",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "REHAB & MOBILITY SPECIALIST",
        "authorized_official_telephone_number": "630-414-1909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marisol Ornelas, RN
• Beth Orona, DPT
• Renee Orvino

• Customized Equipment (DME) in Addison, IL
• Providers in Addison, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.