Optimum Health & Rehab LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

OPTIMUM HEALTH & REHAB LLC

Practice address

221 N Main St
Las Cruces, NM 88001-1274

Phone

(575) 652-6433

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By 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. Daniel Wilczak, DC, MSRNPI 1700361300

Title

Alternative Healthcare Practitioner

Phone

(575) 652-6433

Specialties & licenses 8

Addresses

Locations

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.

• Daniel George Wilczak, DC, MSR

  • Naturopath
  • Las Cruces, NM
  • NPI 1700361300
  NPD (past) Authorized official

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1326523937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011274",
            "telephone_number": "575-652-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011274",
            "telephone_number": "575-652-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "WILCZAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ALTERNATIVE HEALTHCARE PRACTITIONER",
        "authorized_official_telephone_number": "575-652-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MSR"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ontiveros, LMHC
• Ramon R Ontiveros Jr.
• Theresa Anne Ontiveros, LCSW, RPT
• Marren Onyalo, NP
• Nicholas Onyeakazi, FNP-C
• Michelle Oquendo
• Cynthia Ordonez-Branco, LMFT, LADAC
• Estefania Ordonez, BT
• Savannah Ordonez
• Gracie Ordorica, NNP

• Naturopath in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Naturopath in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.