Organization Active NPI

Opportunity Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Noblesville, IN
National Provider Identifier
1003410507
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPPORTUNITY PHYSICAL THERAPY LLC
Practice address
17018 Flinchum Way W
Noblesville, IN 46062-7126
Phone
(574) 276-4906
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven SalinasNPI 1518369321
Title
Member
Phone
(574) 276-4906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17018 Flinchum Way W
Noblesville, IN 46062-7126

Mailing address

17018 Flinchum Way W
Noblesville, IN 46062-7126
Phone (574) 276-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229000207 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234541020 Receives reassigned benefits from 1 practitioner
Practice locations: Noblesville, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1003410507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17018 FLINCHUM WAY W",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627126",
            "telephone_number": "574-276-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17018 FLINCHUM WAY W",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627126",
            "telephone_number": "574-276-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-276-4906"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.