Individual provider Active NPI

Michael Omirin

  • Physical Therapist
  • Pflugerville, TX
National Provider Identifier
1720949019
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2606 W Pecan St
Pflugerville, TX 78660-1917
Phone
(512) 527-6298
NPI assigned
Nov 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

2606 W Pecan St
Pflugerville, TX 78660-1917

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251213000186 TX Practitioner - Physical Therapist in Private Practice 3971097221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (469) 872-7461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 11, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 11, 2025 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1267 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (469) 342-0641

8900 S Congress Ave
Ste 400
Austin, TX 78745
Phone (210) 422-9203

3000 FM 407 E
Ste 500
Bartonville, TX 76226
Phone (940) 448-2007

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090

5004 Gattis School Rd
Ste 220
Hutto, TX 78634
Phone (512) 813-2087

491 S Angel Pkwy
Ste 400
Lucas, TX 75002
Phone (972) 737-6161

3241 S Custer Rd
Ste 101
McKinney, TX 75070

3000 Washington Dr
Ste 100
Melissa, TX 75454
Phone (214) 504-2726

2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298

17220 N Rm 620 Rd
Ste 110
Round Rock, TX 78681
Phone (512) 527-6007

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1720949019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 W PECAN ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601917",
            "telephone_number": "512-527-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIRIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.