OMNIS REHAB
NPI 1699143321
Chiropractor in Little Rock, AR

Active since September 11, 2015
12120 COLONEL GLENN RD STE 5200, LITTLE ROCK, AR 72210(501) 454-4528 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Omnis Rehab NPPES

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

OMNIS REHAB (NPI 1699143321) is a healthcare organization registered as a chiropractor in Little Rock, Arkansas and active in the NPI registry since September 2015. The organization maintains a secondary practice location in North Little Rock and lists Rex Paul Brady Declerk, Owner, as its authorized official.

NPPES Registry Identity

NPI1699143321
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameOMNIS REHAB L.L.C
Location Address12120 COLONEL GLENN RD STE 5200Little Rock, AR 72210-2824
Mailing Address12120 Colonel Glenn Rd Ste 6200Little Rock, AR 72210-2370 · (501) 313-2844
Organization SubpartNo
Authorized OfficialRex Paul Brady DeclerkOwner · (501) 454-4528
Enumeration DateSeptember 11, 2015
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1699143321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 15639
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12120 COLONEL GLENN RD STE 5200, Little Rock, AR 72210

Other Names 1

Doing Business AsOmnis Rehab

Secondary Practice Location 1

Location 15107 Warden Rd Ste 7North Little Rock, AR 72116-7089 · Phone (501) 353-1781

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)

Omnis Rehab 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 Omnis Rehab, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1376375915
12120 COLONEL GLENN RD STE 6200
Little Rock, AR 72210
(501) 313-2844
Same address

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 Omnis Rehab L.L.C's NPI number?

The NPI number for Omnis Rehab L.L.C is 1699143321. It was assigned to this organization in the NPPES registry on September 11, 2015. The provider is doing business as Omnis Rehab.

Where is Omnis Rehab L.L.C located?

Omnis Rehab L.L.C is located at 12120 Colonel Glenn Rd Ste 5200, Little Rock, AR 72210. The listed phone number is (501) 454-4528.

What is Omnis Rehab L.L.C's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Omnis Rehab L.L.C enrolled in Medicare?

Yes. Omnis Rehab L.L.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omnis Rehab L.L.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Omnis Rehab L.L.C. 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 Omnis Rehab L.L.C was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.