Omnis Rehab,Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OMNIS REHAB,INC

Practice address

110 Seneca TRL
Bloomingdale, IL 60108-2426

Phone

(847) 471-9159

Fax

(708) 452-1072

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dariusz Boguslaw Stopka, PT

Title

Physical Therapist

Phone

(874) 471-9159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851445316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SENECA TRL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082426",
            "telephone_number": "847-471-9159",
            "fax_number": "708-452-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SENECA TRL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082426",
            "telephone_number": "847-471-9159",
            "fax_number": "708-452-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIS REHAB,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOPKA",
        "authorized_official_first_name": "DARIUSZ",
        "authorized_official_middle_name": "BOGUSLAW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "874-471-9159",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.