Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni Wellness & Performance

Organization Physical Therapy Clinic/Center · NPI 1710576400

Omni Wellness & Performance is a Physical Therapy Clinic/Center in Fairfax, Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5589 Guinea Rd
Fairfax, VA 22032-4052
Phone: (703) 989-6014
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

Record details

NPI number1710576400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Chacon — Owner · (703) 989-6014
NPI enumeratedJanuary 16, 2021
Last updated in NPPESJanuary 16, 2021
Certification dateJanuary 16, 2021
Mailing address5589 Guinea Rd, Fairfax, VA 22032-4052

Other providers in Fairfax