Organization Active NPI

Optimum Therapy Solutions, L.L.C.

  • Physical Therapist
  • Carson City, NV
National Provider Identifier
1447572532
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1861 Issued in NV
Legal business name
OPTIMUM THERAPY SOLUTIONS, L.L.C.
Practice address
604 W Washington St
Suite B
Carson City, NV 89703
Phone
(775) 882-5001
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Mr. Jason Collier Overholser, P.T.NPI 1811040082
Title
President
Phone
(775) 882-5001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1861 NV Primary

Addresses

Primary practice location

604 W Washington St
Suite B
Carson City, NV 89703

Mailing address

15085 Goldenrod Dr
Reno, NV 89511-7001
Phone (775) 240-1059

Other identifiers 1

IdentifierTypeStateIssuer
100508412MedicaidNV

Other names 1

  • Optimum Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000681 NV Part B Supplier - Clinic/Group Practice 5193859874 Receives reassigned benefits from 4 practitioners
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

604 W Washington St
Ste B
Carson City, NV 89703
Phone (775) 882-5001

Practitioners & affiliated clinicians

Practitioners 6

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": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1447572532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15085 GOLDENROD DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117001",
            "telephone_number": "775-240-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-882-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM THERAPY SOLUTIONS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERHOLSER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "COLLIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-882-5001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508412",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.