Optimal Pain and Wellness

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OPTIMAL PAIN AND WELLNESS

Practice address

909 SE 28TH St Ste 5
Bentonville, AR 72712-3211

Phone

(479) 301-2565

Fax

(479) 301-2717

NPI assigned

Aug 12, 2022

Last updated

Aug 12, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

OPTIMAL PAIN AND WELLNESSAs reported in NPPES

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

Authorized official

Name

Regina Elizabeth Thurman, MDNPI 1689682353

Title

Owner

Phone

(479) 301-2565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, AR
  • NPI 1487920146

  8325200942

  Same PAC ID
• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Van Buren, AR
  • NPI 1619605094

  8325200942

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Optimal Pain and Wellness4 organizations share this tax ID, including this one

Part of

Optimal Pain and Wellness

Other organizations with this tax ID 3

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

• Optimal Pain and Wellness

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, AR
  • NPI 1316346000
  NPD tax ID
• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, AR
  • NPI 1487920146
  NPD tax ID
• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Van Buren, AR
  • NPI 1619605094
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Elizabeth Thurman, MD

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, AR
  • NPI 1689682353
  Authorized official Same address or phone

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1285362665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E JOYCE BLVD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035251",
            "telephone_number": "479-301-2565",
            "fax_number": "479-301-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SE 28TH ST STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123211",
            "telephone_number": "479-301-2565",
            "fax_number": "479-301-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PAIN AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL PAIN AND WELLNESS",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-301-2565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Odya
• Luke Oldham, DC
• William D Oldham, LPC, MDIV
• Whitney Lee Oliver, PA-C
• Erica M Olson, LPC
• Julia J Ortiz
• Katrina Brooke Ortiz, MS,CCC-SLP
• Silas Osborn
• Tinika Osborne, PT
• Sarah E Osburn

• Physical Medicine & Rehabilitation Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.