Omar Pulido Zepeda, PT, DPT
Individual provider Active NPI Physical Therapist · Roeland Park, KS
NPI 1902653686 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1902653686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-06971 (KS)
- Practice address
- 5675 Roe Blvd Ste 240
Roeland Park, KS 66205-2515 - Phone
- (913) 632-4750
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06971 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06971 | KS | Yes |
Addresses
Primary practice location
5675 Roe Blvd Ste 240
Roeland Park, KS 66205-2515
Mailing address
5675 Roe Blvd Ste 240
Roeland Park, KS 66205-2515
Other providers in Roeland Park, KS
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- Brenda Pallone
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- Jane Winkler Philbrook
- George S Postma Jr.
- Basir Riaz
- Dallin Roberts
- Ulises Rojas
- Kyle P Roste
- Jessica Roux
All providers in Roeland Park, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.