Active NPI
Optage Inc
Doing business as Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Burnsville, MN
National Provider Identifier
1265121735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- OPTAGE INC
- Doing business as
- Presbyterian Homes and Services Rehabilitation
Valley Ridge - Practice address
- 1921 W Burnsville Pkwy
Burnsville, MN 55337-4240 - Phone
- (651) 631-6570
- NPI assigned
- May 2, 2023
- Last updated
- Aug 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Leigh Rue
- Title
- Director of Rehabilitation
- Phone
- (651) 631-6415
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1921 W Burnsville Pkwy
Burnsville, MN 55337-4240
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6415
Other names 2
- Presbyterian Homes and Services Rehabilitation
- Valley Ridge
National Provider Directory
National Provider Directory- Tax ID family
- Optage Inc
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Chanhassen, MN
- NPI 1427747997
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Inver Grove Heights, MN
- NPI 1639890783
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Plymouth, MN
- NPI 1669168167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1265121735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W BURNSVILLE PKWY",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374240",
"telephone_number": "651-631-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A",
"authorized_official_last_name": "RUE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
"authorized_official_telephone_number": "651-631-6415"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Presbyterian Homes and Services Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Ridge",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.