Organization Active NPI

Optima the Center for Spine Rehabilitation

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1407829484
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 3, 2025

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 3773 CO
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 11645 CO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000848 CO Part B Supplier - Clinic/Group Practice 8426049222 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.