Dr Michael Stanley Ommundsen, PT, DPT | |
704 N Judd Pkwy Ne Ste 100, Fuquay Varina, NC 27526-1989 | |
(919) 896-7158 | |
(919) 896-7208 |
Full Name | Dr Michael Stanley Ommundsen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 704 N Judd Pkwy Ne Ste 100, Fuquay Varina, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598193583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01477300 (New Jersey) | Secondary |
225100000X | Physical Therapist | P14946 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Activcare Physical Therapy, Llc | 8628027471 | 129 |
Provider Name | Activcare Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Stanley Ommundsen, PT, DPT 1613 Walnut St, Cary, NC 27511-5928 Ph: (919) 535-8758 | Dr Michael Stanley Ommundsen, PT, DPT 704 N Judd Pkwy Ne Ste 100, Fuquay Varina, NC 27526-1989 Ph: (919) 896-7158 |
Iron Varsity, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5132 Doughtymews Ln, Fuquay Varina, NC 27526 Phone: 831-524-2966 | |
Dr. Colton Owczarzak, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5132 Doughtymews Ln, Fuquay Varina, NC 27526 Phone: 831-524-2966 | |
Danielle M Larson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 N Main St, Fuquay Varina, NC 27526 Phone: 919-557-2111 Fax: 919-557-5543 | |
Saejin Kim, PT, DPT, CLT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1927 Whakatane Ln, Fuquay Varina, NC 27526 Phone: 310-850-6043 | |
Hands On Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 N Main St, Fuquay Varina, NC 27526 Phone: 919-557-2111 Fax: 919-557-5543 | |
Sunyoung Kim, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7608 Purfoy Rd, Fuquay Varina, NC 27526 Phone: 919-220-5255 | |
Jessica Lane, Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Attain St Ste 102, Fuquay Varina, NC 27526 Phone: 919-754-4111 |