Omni Wellness & Performance

LBN: Omni Wellness & Performance
Omni Wellness & Performance is an health care organization with primary practice located at 5589 Guinea Rd , Fairfax VA 22032-4052. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Omni Wellness & Performance can be contacted via phone (703) 989-6014, or through Chacon, Jose via phone (703) 989-6014.

Contact Information

Primary practice address
5589 Guinea Rd Fairfax VA 22032-4052
Phone: (703) 989-6014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chacon, Jose Physical Therapist Assistant (PTA)
Phone: (703) 989-6014

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1710576400
LBN Legal business name Omni Wellness & Performance
DBA Doing business as
Authorized official Chacon, Jose Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2021
Last updated Jan 16th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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