Omni Rehab & Therapy Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT17474 Issued in CA

Legal business name

OMNI REHAB & THERAPY CENTER

Practice address

1642 E Washington St
Colton, CA 92324-4605

Phone

(909) 370-0611

Fax

(909) 370-0612

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Flora Mohamed Shafiee, DPTSNPI 1518017110

Title

Owner

Phone

(909) 370-0611

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Flora Mohamed F Shafiee, DPTS

  • Physical Therapist
  • Rialto, CA
  • NPI 1518017110
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902935075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-370-0611",
            "fax_number": "909-370-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-370-0611",
            "fax_number": "909-370-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI REHAB & THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFIEE",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-370-0611",
        "authorized_official_credential": "DPTS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Olmedo Mendoza, BSW
• Stacy Olney, BCBA 1-21-55585
• Kehinde Olabisi Olunloyo
• Collet Anayo Oluoha
• Juliana N Omeje
• Pius Omolewa
• Victoria Omoruyi
• One Love in Home Care LLC
• Kevin Thien Ong
• Harriet Semo Ongondo

• Physical Medicine & Rehabilitation Physician in Colton, CA
• Providers in Colton, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• 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.