MICHAEL OMMUNDSEN
Physical Therapist

Address: 2301 Robeson St, Suite 204, Fayetteville, NC 28305-5640

MICHAEL OMMUNDSEN (NPI# 1598193583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598193583
Entity Type Individual
Full Name DR. MICHAEL OMMUNDSEN
Gender Male
Credential PT, DPT
Practice Address 2301 Robeson St
Suite 204
Fayetteville
NC 28305-5640
Practice Telephone 9102232525
Practice Fax Number 9102231528
Mailing Address 1613 Walnut St
Cary
NC 27511-5928
Mailing Telephone 9195358758
Mailing Fax Number 9195353271
Enumeration Date 2013-10-29
Last Update Date 2014-06-26
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 225100000X Physical Therapist P14946 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist 40QA01477300 NJ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Physician Overview

PECOS Associate Control (PAC) ID 7315178225
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20140825002738
Last Name OMMUNDSEN
First Name MICHAEL
Organization Legal Name ACTIVCARE PHYSICAL THERAPY, LLC
Location 3708 Forestview Rd, Suite 101, Raleigh, NC 27612-8042
Phone Number 9197867434
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 8628027471
Number of Group Practice Members 121

Office Location

Street Address 2301 ROBESON ST
SUITE 204
City FAYETTEVILLE
State NC
Zip Code 28305-5640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023293818 Casi P Gilmer · Casi Parrish Gilmer Nurse Practitioner 2301 Robeson St, Suite 203, Fayetteville, NC 28305-5640 2007-12-31
1124668231 Susanna Long Haley Physician Assistant · Medical 2301 Robeson St, Fayetteville, NC 28305-5640 2020-01-07
1467000422 Amruta Bahekar Dentist 2301 Robeson St, Fayetteville, NC 28305-5640 2019-09-03
1851747919 Kary Jean Neal Nurse Practitioner · Family 2301 Robeson St, Fayetteville, NC 28305-5640 2016-05-09
1497110753 Cameron & Roman Pllc Dentist · General Practice 2301 Robeson St, Suite 302, Fayetteville, NC 28305-5640 2015-12-30
1639534118 Deidra Debnam Physical Therapist 2301 Robeson St, Suite 204, Fayetteville, NC 28305-5640 2015-12-28
1205209418 Lara Chase Physical Therapist 2301 Robeson St, Fayetteville, NC 28305-5640 2015-11-10
1023494176 Kasey Marie Phillips · Kasey Boyd Physical Therapist 2301 Robeson St, 204, Fayetteville, NC 28305-5640 2015-07-30
1801294145 Fayetteville Vamc · Fayetteville 2 Va Clinic Clinic/Center · VA 2301 Robeson St, Fayetteville, NC 28305-5640 2014-12-19
1649671066 Highland Obstetrics & Gynecology Clinic Pa Obstetrics & Gynecology 2301 Robeson St, Suite 201, Fayetteville, NC 28305-5640 2014-09-05
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1336533116 Avalon Counseling Services Pa Counselor · Mental Health 916 B Arsenal Ave, Fayetteville, NC 28305 2015-03-19
1568882827 Kenneth Brown Counselor · Mental Health 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 2014-04-24
1497172233 Louvenia Locklear Counselor · Mental Health 1310 Raeford Road St. 2, Fayetteville, NC 28305 2014-03-18
1174879423 Lynette Maxwell Pierce Dentist · General Practice 2537-B Raeford Rd, Fayetteville, NC 28305 2012-07-24
1356640973 Charlene Jones Social Worker · Clinical 560 Lambert St, Fayetteville, NC 28305 2011-03-22
1659518173 Christine R Campbell Speech-Language Pathologist 2401 Roberson Street, Fayettville, NC 28305 2009-01-21
1588814628 Zakiya S Karim Pediatrics 1327 Robeson Street, Fayetteville, NC 28305 2008-09-25
1710134770 Bright Heart Healthcare Staffing Nursing Care 2504 Rareford Rd, Fayetteville, NC 28305 2008-08-21
1730272402 Dale A Childers Dentist · Oral and Maxillofacial Surgery 2409 Robeson Street, Fayetteville, NC 28305 2006-10-02
1689608259 Henry Zack Smith Dentist · Orthodontics and Dentofacial Orthopedics 573 Executive Place, Fayetteville, NC 28305 2006-07-10
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316532252 Ashlei Henderson Kelly 1294 Ga-54, Fayetteville, GA 30214 2021-03-03
1700479607 Fayetteville Rehab Solutions LLC 535 Glynn St S Ste 20082009, Fayetteville, GA 30214-2029 2021-02-11
1528650090 Sean Farris 1565 Purdue Dr Ste 101a, Fayetteville, NC 28303-5537 2021-02-06
1023609591 Fernando Castillo 3383 N Mana Ct Ste 201, Fayetteville, AR 72703-4966 2021-01-28
1821602178 Ryan Matthew Derby 1191 Fordham Drive, Suite 102, Fayetteville, NC 28304-3774 2020-09-03
1649882705 P4 Physical Therapy - Fayetteville, LLC 1229 Huntsville Hwy Ste B, Fayetteville, TN 37334-3685 2020-08-20
1295352136 Jessica Czarnecki 2668 E Citizens Dr Ste 4, Fayetteville, AR 72703-4796 2020-06-26
1194341412 Camille Franncine Bolton 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1013532498 Jackson Thomas Pruett 5860 Yadkin Rd, Fayetteville, NC 28303-2668 2020-06-11
1063036416 Daniel Michael Parker 2350 Bentridge Ln, Fayetteville, NC 28304-0590 2020-06-02
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City FAYETTEVILLE
Zip Code 28305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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