NPIMap

Organization Active NPI

Omni Center, Inc.

  • Speech-Language Pathologist
  • Shelbyville, TN
National Provider Identifier
1720037062
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OMNI CENTER, INC.
Practice address
920 Colloredo Blvd
Shelbyville, TN 37160-2779
Phone
(931) 684-3024
Fax
(931) 684-3066
NPI assigned
May 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Esther McConkey
Title
P.T./Director
Phone
(931) 684-3024

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

920 Colloredo Blvd
Shelbyville, TN 37160-2779

Mailing address

920 Colloredo Blvd
Shelbyville, TN 37160-2779
Phone (931) 684-3024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120126000887 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0749457083 Practice locations: Shelbyville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720037062. Details of each certification follow.

  • CCN 446552 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 446552

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OMNI CENTER INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 3, 1991
Last certification
Mar 1, 2017
Ownership / control type
Proprietary
Facility address
920 Colloredo Blvd
Shelbyville, TN 37160

National Provider Directory

National Provider Directory

Locations

920 Colloredo Blvd
Shelbyville, TN 37160
Phone (931) 684-3024

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720037062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 COLLOREDO BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602779",
            "telephone_number": "931-684-3024",
            "fax_number": "931-684-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COLLOREDO BLVD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602779",
            "telephone_number": "931-684-3024",
            "fax_number": "931-684-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCONKEY",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "P.T./DIRECTOR",
        "authorized_official_telephone_number": "931-684-3024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.