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Omni Physical & Aquatic Therapy Center, Inc

Physical Medicine & Rehabilitation Physician in Wallingford, CT · enumerated 2007 · authorized official Trisha Mahoney-Randall, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861537995

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Registry record

Entity type Organization (Type 2)
Legal business name Omni Physical & Aquatic Therapy Center, Inc
Other name <Unavail>
Practice address 8 Research Pkwy, Wallingford, CT, 06492
Fax (203) 294-1189
Enumeration date Feb 20, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
111NR0400X Rehabilitation Chiropractor Chiropractic Providers Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2251G0304X Geriatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Trisha Mahoney-Randall
Title Billing Manager

Other identifiers

Identifier Type State Issuer
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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Omni Physical & Aquatic Therapy Center, Inc located?
The practice location on file with NPPES is in Wallingford, CT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.