Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Omega 40 Sports Medicine

Organization Physical Therapy Clinic/Center · NPI 1053505529

Omega 40 Sports Medicine provides Physical Therapy Clinic/Center services in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1 S Old Kings Rd
Ormond Beach, FL 32174-6177 Not confirmed with CMS for 19 years — call before visiting
Phone: (386) 672-4080
Fax: (386) 672-6197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT0000766 (FL)

Record details

NPI number1053505529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve Xynidis — Owner · (386) 672-4080
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 28, 2007
Mailing address1 S Old Kings Rd, Ormond Beach, FL 32174-6177

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