Active NPI
Omnis Rehab North Little Rock LLC
- Chiropractor
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- OMNIS REHAB NORTH LITTLE ROCK LLC
- Practice address
- 5107 Warden Rd Ste 7
North Little Rock, AR 72116-7089 - Phone
- (501) 353-1781
- NPI assigned
- Nov 3, 2021
- Last updated
- Nov 3, 2021
- Organization subpart
- Yes
- Parent organization
- OMNIS REHAB L.L.C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rex Paul Brady Declerk, DC
- Title
- Owner
- Phone
- (501) 454-4528
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5107 Warden Rd Ste 7
North Little Rock, AR 72116-7089
Mailing address
12120 Colonel Glenn Rd Ste 6200
Little Rock, AR 72210-2370
Phone (501) 313-2844
National Provider Directory
National Provider Directory- Part of
- Omnis Rehab LLC
Locations
12120 Colonel Glenn Rd
Ste 6200
Little Rock, AR 72210
Phone (501) 218-8039
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 4
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.
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- Chiropractor
- Little Rock, AR
- NPI 1346471661
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- Little Rock, AR
- NPI 1588209159
-
- Chiropractor
- Little Rock, AR
- NPI 1376375915
-
- Chiropractor
- Jacksonville, FL
- NPI 1003499054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1790440972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12120 COLONEL GLENN RD STE 6200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722102370",
"telephone_number": "501-313-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 WARDEN RD STE 7",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167089",
"telephone_number": "501-353-1781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNIS REHAB NORTH LITTLE ROCK LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OMNIS REHAB L.L.C",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "DECLERK",
"authorized_official_first_name": "REX PAUL",
"authorized_official_middle_name": "BRADY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-454-4528",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.