Active NPI
Optimum Rehab Solutions
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Columbus, IN
National Provider Identifier
1295375483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- OPTIMUM REHAB SOLUTIONS
- Practice address
- 2079 Deer Valley CT
Columbus, IN 47201-1598 - Phone
- (812) 498-8412
- NPI assigned
- Jan 15, 2020
- 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
- Mary Cathleen Madanguit, PT
- Title
- Ceo/Owner
- Phone
- (812) 498-8412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
2079 Deer Valley CT
Columbus, IN 47201-1598
Mailing address
2079 Deer Valley CT
Columbus, IN 47201-1598
Phone (812) 498-8412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1295375483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 DEER VALLEY CT",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472011598",
"telephone_number": "812-498-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2079 DEER VALLEY CT",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472011598",
"telephone_number": "812-498-8412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM REHAB SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "MADANGUIT",
"authorized_official_first_name": "MARY CATHLEEN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "812-498-8412",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.