Organization Active NPI

Optimal Orthopaedics PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
National Provider Identifier
1427704246
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OPTIMAL ORTHOPAEDICS PLLC
Practice address
6 Sharpley Rd
Wilmington, DE 19803-2941
Phone
(302) 652-0411
Fax
(302) 652-1116
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
1326655267As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Weigner, D.C.NPI 1063549756
Title
Owner/Cceo
Phone
(610) 876-6180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Pain Clinic/Center 261QP3300X NU
Chiropractor 111N00000X NU

Addresses

Primary practice location

6 Sharpley Rd
Wilmington, DE 19803-2941

Mailing address

3605 Edgmont Ave Ste a
Brookhaven, PA 19015-2862
Phone (610) 876-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220103002031 DE Part B Supplier - Clinic/Group Practice 2860883725 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, DE
O20230802001995 DE DME Supplier - Physician - Chiropractic 2860883725 Practice locations: Wilmington, DE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2053731Optimal Orthopaedics, LLC6 Sharpley Road, Wilmington, DE 19803Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory
Part of
Optimal Orthopaedics PLLC

Locations

6 Sharpley Rd
Ste A
Wilmington, DE 19803
Phone (610) 876-6180

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1427704246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 EDGMONT AVE STE A",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152862",
            "telephone_number": "610-876-6180",
            "fax_number": "610-876-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHARPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032941",
            "telephone_number": "302-652-0411",
            "fax_number": "302-652-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL ORTHOPAEDICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1326655267",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "WEIGNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CCEO",
        "authorized_official_telephone_number": "610-876-6180",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.