Active NPI
Optima the Center for Spine Rehabilitation
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1407829484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OPTIMA THE CENTER FOR SPINE REHABILITATION
- Practice address
- 3920 N. Union Blvd
Suite 160
Colorado Springs, CO 80907-4907 - Phone
- (719) 634-4754
- Fax
- (719) 471-3734
- NPI assigned
- Feb 9, 2006
- 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
- Vanessa Moar
- Title
- Practice Manager
- Phone
- (719) 632-4754
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3773 | CO | |
| Rehabilitation Chiropractor | 111NR0400X | |||
| Physical Therapist | 225100000X | 11645 | CO | |
| Physical Therapist | 225100000X | Primary | ||
| Athletic Trainer | 2255A2300X | AT.00013932 | CO |
Addresses
Primary practice location
3920 N. Union Blvd
Suite 160
Colorado Springs, CO 80907-4907
Mailing address
3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907
Phone (719) 634-4754
Other names 1
- Optima Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3225 International Cir
Ste 200
Colorado Springs, CO 80910
Phone (719) 471-4221
3225 International Cir
Colorado Springs, CO 80910
Phone (719) 344-9342
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1093917973
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1598967473
-
- Physical Therapist
- Columbia, MO
- NPI 1649387895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1407829484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074907",
"telephone_number": "719-634-4754",
"fax_number": "719-471-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N. UNION BLVD",
"address_2": "SUITE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074907",
"telephone_number": "719-634-4754",
"fax_number": "719-471-3734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA THE CENTER FOR SPINE REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "MOAR",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "719-632-4754"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CO",
"license": "3773",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CO",
"license": "11645",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "AT.00013932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optima Rehabilitation",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Optima Rehabilitation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.