Omega Sport Physical Therapy and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OMEGA SPORT PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

5432 Holly Rd
Corpus Christi, TX 78411-4635

Phone

(210) 254-4442

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Matthew Delcambre, DPTNPI 1568911089

Title

Ceo

Phone

(210) 254-4442

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.

• Ryan Delcambre, DPT

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1568911089
  NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1679189351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 VILLEFRANCHE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146023",
            "telephone_number": "210-254-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114635",
            "telephone_number": "210-254-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA SPORT PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "DELCAMBRE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-254-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Briana Olson, LCDC, LPC
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• Olympic Medical Supply
• Cynthia Leigh Omana
• Rola Mahmoud Omar
• Sophia J Ommani, MD
• Iyobosa Sonia Omoregie
• Oncology Services of Corpus Christi LLC
• One Home Medical Equipment TX LLC
• Leslee Oneal, LPCS

• Physical Therapy Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.