Optimum Kids LTD

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

OPTIMUM KIDS LTD

Practice address

1240 E US Business 83
Mission, TX 78572

Phone

(956) 664-9955

Fax

(956) 664-9957

NPI assigned

Feb 8, 2006

Organization subpart

Yes

Parent organization

OPTIMUM KIDS LTDAs reported in NPPES

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

Authorized official

Name

Jessyca Lopez

Title

Owner

Phone

(956) 600-7921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• All Around Therapy Doing business as
• Alton Rehab for Kids Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Comprehensive outpatient rehabilitation facility certification: CCN 454839

Legal name

ALL AROUND THERAPY

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Feb 5, 2004

Last certification

Jun 18, 2019

Ownership / control type

Proprietary

Facility address

1240 East US Business 83, Suite a
Mission, TX 78572

Tax ID family

All Around Therapy2 organizations share this tax ID, including this one

Part of

Optimum Kids LTD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optimum Kids LTD

  • Rehabilitation Clinic/Center
  • Mission, TX
  • NPI 1538772488
  NPD tax ID

Locations

Practitioners 2

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

• Janeth Luevanos

  • Speech-Language Pathologist
  • Mission, TX
  • NPI 1013833862
  NPD (past)
• Brittny Madden

  • Pediatric Occupational Therapist
  • Mission, TX
  • NPI 1811716434
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1104899509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E BUSINESS 83 STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729600",
            "telephone_number": "956-600-7921",
            "fax_number": "956-600-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E US BUSINESS 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-664-9955",
            "fax_number": "956-664-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM KIDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM KIDS LTD",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JESSYCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-600-7921"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1631301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Around Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alton Rehab for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nilda Olmeda, FNP-BC
• Oneplus Medical Transportation,LLC
• John Thalesseril Oommen, PHARM D
• Optimal Home Health Care LLC
• Optimum Diagnostic Imaging Center
• Optimum Kids LTD
• Optimum Kids LTD
• Optimum Pediatrics PLLC
• Optimum Therapy Mission
• Oraciones Primary Home Care LLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Mission, TX
• Providers in Mission, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.