Optimal Performance Health Care Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4410-12 Issued in WI

Legal business name

OPTIMAL PERFORMANCE HEALTH CARE CENTER LLC

Practice address

10500 W Loomis Rd
Suite 160
Franklin, WI 53132-8030

Phone

(414) 491-8650

Fax

(414) 810-0894

NPI assigned

Sep 2, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corey Van Westen, D.C.

Title

Owner/Clinic Director

Phone

(414) 491-8650

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1275814345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 N COMMERCE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123401",
            "telephone_number": "414-491-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD",
            "address_2": "SUITE 160",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-491-8650",
            "fax_number": "414-810-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "VAN WESTEN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-491-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "4410-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002627",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1275814345",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588628473",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Olson, RN, APNP, FNP-BC
• Debra Ann Olson, RN
• Helen Olson, RN
• Stephanie Sue Olson, M.D.
• Optimal Orthopedic Care S C
• Opus Anesthesia LLC
• Gwen Ellen Orheim, MS CCCSLP
• Julie Ortmann
• Ashley H Ovunwo
• Pain Centers of Wisconsin-Franklin, LLC

• Rehabilitation Chiropractor in Franklin, WI
• Providers in Franklin, WI by specialty
• Rehabilitation Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.