Active NPI
Omega PT LLC
- Physical Therapist
- Rochester Hills, MI
National Provider Identifier
1700278587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016689
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501016689 | Other | MI | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.