Organization Active NPI

Omni Rehab LLC

  • Occupational Therapist
  • Harlingen, TX
National Provider Identifier
1811627342
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OMNI REHAB LLC
Practice address
1239 N Stuart Place Rd
Harlingen, TX 78552-4290
Phone
(965) 245-9790
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Phillip Parker, MOTNPI 1164000204
Title
Owner/Mot
Phone
(956) 245-9790

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1239 N Stuart Place Rd
Harlingen, TX 78552-4290

Mailing address

1239 N Stuart Place Rd
Harlingen, TX 78552-4290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216000013 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597134494 Receives reassigned benefits from 4 practitioners
Practice locations: Harlingen, TX

National Provider Directory

National Provider Directory

Locations

1239 N Stuart Place Rd
Harlingen, TX 78552
Phone (956) 245-9790

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1811627342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 N STUART PLACE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785524290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 N STUART PLACE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785524290",
            "telephone_number": "965-245-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER/MOT",
        "authorized_official_telephone_number": "956-245-9790",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.