OMNIA FUNCTION LLC NPI 1255210100

NPI Information

  • NPI: 1255210100
  • Provider Name: OMNIA FUNCTION LLC
  • Classification: Dietitian, Registered - 133VN1501X
  • Specialization: Nutrition, Sports Dietetics
  • Entity Type: Organization
  • Address: 533 VINELAND RD
    BAY VILLAGE, OH
    ZIP 44140
  • Phone: (419) 366-3163

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NPI Details

OMNIA FUNCTION LLC is a nutrition and sports dietetics dietitian registered in Bay Village, OH. The provider is an individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance. OMNIA FUNCTION LLC NPI is 1255210100. The provider is registered as an organization entity type.

The provider's business location address is:

533 VINELAND RD
BAY VILLAGE, OH
ZIP 44140-873
Phone: (419) 366-3163

The provider's authorized official is Michael K. E. Bogden .
The authorized official title is Ceo And Co-founder - Pt and has the following contact phone number (419) 366-3163.

The enumeration date for this NPI number is 8/27/2025 and was last updated on 8/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
2133VN1501XDietitian, RegisteredNutrition, Sports DieteticsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11740548452MEDICAIDOHIO
21497710149MEDICAIDOHIO
31962813493MEDICAIDOHIO
41538986153MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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