Omni Physical & Aquatic Therapy Center, Inc
NPI 1861537995 · Physical Medicine & Rehabilitation Physician · Wallingford, CT
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1861537995
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Trisha Mahoney-Randall, Billing Manager(203) 877-0112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Rehabilitation Chiropractor111NR0400X
Chiropractic Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Omni Medical
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2022-07-21
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.