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OMNIA WELLNESS AND RECOVERY
NPI 1063231017
Physical Medicine & Rehabilitation - Neuromuscular Medicine in Duluth, MN

Active since October 07, 2024
4632 W 6TH ST, DULUTH, MN 55807(320) 491-0321 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Omnia Wellness And Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNIA WELLNESS AND RECOVERY (NPI 1063231017) is a healthcare organization registered as a neuromuscular medicine in Duluth, Minnesota and active in the NPI registry since October 2024. The organization lists Blake Steven Radtke, Owner Of Omnia Wellness And Recover, as its authorized official.

NPPES Registry Identity

NPI1063231017
Entity TypeOrganization
Primary Taxonomy2081N0008X
Legal Business NameOMNIA WELLNESS AND RECOVERY
Location Address4632 W 6TH STDuluth, MN 55807-2015
Mailing Address4632 W 6th StDuluth, MN 55807-2015 · (320) 491-0321
Phone(320) 491-0321
Organization SubpartNo
Authorized OfficialBlake Steven RadtkeOwner Of Omnia Wellness And Recover · (320) 491-0321
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1063231017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Neuromuscular MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081N0008X
Definition
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.
4632 W 6TH ST, Duluth, MN 55807
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omnia Wellness And Recovery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Omnia Wellness And Recovery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Blake Radtke, DPT
Physical Therapist in Private Practice
NPI 1972292340
407 E 3RD ST
Duluth, MN 55805
(218) 786-8364
✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omnia Wellness And Recovery's NPI number?

The NPI number for Omnia Wellness And Recovery is 1063231017. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Omnia Wellness And Recovery located?

Omnia Wellness And Recovery is located at 4632 W 6th St, Duluth, MN 55807. The listed phone number is (320) 491-0321.

What is Omnia Wellness And Recovery's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Neuromuscular Medicine, with taxonomy code 2081N0008X.

Is Omnia Wellness And Recovery enrolled in Medicare?

Yes. Omnia Wellness And Recovery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omnia Wellness And Recovery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Omnia Wellness And Recovery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Omnia Wellness And Recovery was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.