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

Dr. Michael Stanley Ommundsen, PT, DPT

Individual provider Physical Therapist · NPI 1598193583

Dr. Michael Stanley Ommundsen, PT, DPT is a Physical Therapist in Private Practice in Fuquay Varina, North Carolina. Qualified in 2012, 14 years ago. Practices with Activcare Physical Therapy, LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
14
Licensed in
NC, NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

704 N Judd Pkwy NE Ste 100
Fuquay Varina, NC 27526-1989
Phone: (919) 896-7158
Fax: (919) 896-7208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Robeson St, Fayetteville, NC 28305-5640 — (910) 223-2525

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P14946 (NC)
Physical Therapist Taxonomy 225100000X · Licence 40QA01477300 (NJ)

Record details

NPI number1598193583
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 29, 2013
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Activcare Physical Therapy, Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fuquay Varina