Optimum Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OPTIMUM REHAB LLC

Doing business as

Optimum Rehab

Practice address

108 7TH St S
Wahpeton, ND 58075-4602

Phone

(701) 403-1090

Fax

(701) 403-8694

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Eggiman, PT, DPTNPI 1275762312

Title

Owner, Physical Therapist

Phone

(701) 403-1090

Specialties & licenses 2

Addresses

Other names 1

• Optimum Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

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

• Anthony Charles Eggiman, DPT

  • Physical Therapist
  • Wahpeton, ND
  • NPI 1275762312
  Medicare reassignment Care Compare group NPD Authorized official
• Connor Ramon Barton, DPT

  • Physical Therapist
  • Wahpeton, ND
  • NPI 1114802931
  Medicare reassignment Care Compare group NPD
• Meghan Kathrein, PTA

  • Physical Therapy Assistant
  • Wahpeton, ND
  • NPI 1144004540
  NPD

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1275168205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 7TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754602",
            "telephone_number": "701-403-1090",
            "fax_number": "701-403-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 7TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754602",
            "telephone_number": "701-403-1090",
            "fax_number": "701-403-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "EGGIMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "701-403-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annika Norman
• North Dakota State College of Science
• Timothy Monari Nyarandi, MD
• Joan Leslie Nycklemoe-Connell, PA-C
• Brody Onchuck, DC
• Robert P Ostmo, MD
• Sean Lee Owens, ATC
• Dawn K Pankow, MD
• Sarojben U Patel
• Umeshbhai Patel

• Physical Therapy Clinic/Center in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.