Organization Active NPI

Optimum Rehab Solutions

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Columbus, IN
National Provider Identifier
1295375483
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
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

Updated by the provider on May 8, 2020

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.