Omni Physical & Aquatic Therapy Center, Inc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Wallingford, Connecticut. Their current practice location is
8 Research Pkwy, Wallingford, Connecticut. You can reach out to their office (for appointments etc.) via phone at
(203) 294-1998.
Omni Physical & Aquatic Therapy Center, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Omni Physical & Aquatic Therapy Center, Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861537995.
Healthcare Provider's Profile
| Full Name | Omni Physical & Aquatic Therapy Center, Inc |
|---|
| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 8 Research Pkwy, Wallingford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861537995
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769419514
- Enrollment ID: O20050722000624
Medical Identifiers
Medical identifiers for Omni Physical & Aquatic Therapy Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861537995 | NPI | - | NPPES |
| 6404254 | Other | CT | UNITED HEALTHCARE |
| A667399 | Other | CT | OXFORD |
| 004173184 | Other | CT | BLUE CARE FAMILY PLAN |
| 712712 | Other | CT | CONNECTICARE |
| 004173184 | Medicaid | CT | |
| 004255271 | Medicaid | CT | |
| 0V1691 | Other | CT | HEALTHNET |
| 183158 | Other | CT | FIRST CHOICE |
| 552470 | Other | CT | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Connecticut) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | (Connecticut) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (Connecticut) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | (Connecticut) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (Connecticut) | Secondary |
| 225X00000X | Occupational Therapist | (Connecticut) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omni Physical & Aquatic Therapy Center, Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Omni Physical & Aquatic Therapy Center, Inc
8 Research Pkwy,
Wallingford, CT 06492-1929
Ph: (203) 294-1998 | Omni Physical & Aquatic Therapy Center, Inc
8 Research Pkwy,
Wallingford, CT 06492-1929
Ph: (203) 294-1998 |
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