Organization Active NPI

Omega PT LLC

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1700278587
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016689 Issued in MI
Legal business name
OMEGA PT LLC
Practice address
130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195
Phone
(248) 289-1127
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Joseph Ruefiel
Title
Administrator
Phone
(248) 289-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5501016689 MI Primary

Addresses

Primary practice location

130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195

Mailing address

130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195
Phone (248) 289-1127

Other identifiers 1

IdentifierTypeStateIssuer
5501016689OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

130 Hampton Cir
Ste 150
Rochester Hills, MI 48307
Phone (248) 250-3625

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1700278587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074195",
            "telephone_number": "248-289-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074195",
            "telephone_number": "248-289-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "RUEFIEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-289-1127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501016689",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.