Omni Physical Therapy,Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4705 Issued in SC

Legal business name

OMNI PHYSICAL THERAPY,INC.

Practice address

1015 Nandina St
Hartsville, SC 29550-3931

Phone

(843) 409-1620

Fax

(843) 841-2482

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Keziah Shumate, MPTNPI 1871514182

Title

Physical Therapist

Phone

(843) 409-1620

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Melissa K Shumate, MPT

  • Physical Therapist
  • Hartsville, SC
  • NPI 1871514182
  NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972511129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NANDINA ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503931",
            "telephone_number": "843-409-1620",
            "fax_number": "843-841-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NANDINA ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503931",
            "telephone_number": "843-409-1620",
            "fax_number": "843-841-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PHYSICAL THERAPY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KEZIAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-409-1620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novant Medical Group, Inc. (Women's Care of Hartsville)
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• Courtney Cierra O'Neal
• Samuel Kofi Osei Okoh, MD
• Chase Ollis
• Kristin Oneal
• Zsolt Peter Ori, MD
• Joni Sue Ovanna Budhram, M.D.
• Pal Metto Prosthetics and Orthotics, Inc.
• Palmetto Counseling of Hartsville LLC

• Specialist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Specialist in South Carolina

• 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.