Opt Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPT REHAB LLC

Practice address

866 Broadway Ste a
Bayonne, NJ 07002-3062

Phone

(201) 600-9488

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Beshowy WanisNPI 1245881853

Title

Registered Official

Phone

(201) 339-8070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Beshowy Wanis, DPT

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1245881853
  Medicare reassignment NPD Authorized official
• Selvia Shafik

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1447717293
  Medicare reassignment NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1043079254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 BROADWAY STE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023062",
            "telephone_number": "201-600-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 BROADWAY STE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023062",
            "telephone_number": "201-600-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPT REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "WANIS",
        "authorized_official_first_name": "BESHOWY",
        "authorized_official_title_or_position": "REGISTERED OFFICIAL",
        "authorized_official_telephone_number": "201-339-8070"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose L Oen, MD
• Dozie Ogbodo
• Tammie Cherice Oladipo, LCSW
• Olive Chiropractic & Wellness Center LLC
• Edith Olivo, PSY.D.
• Optimum Behavioral Health
• Optimum Behavioral Health
• Optimum Behavioral Health
• Optimus Homecare LLC
• Optum Medical Care of New Jersey PC

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.