Organization Active NPI

Thiel Optimal, LLC

  • Physical Medicine & Rehabilitation Physician
  • Menasha, WI
National Provider Identifier
1467158220
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THIEL OPTIMAL, LLC
Practice address
640 Walbrun St
Menasha, WI 54952-2249
Phone
(920) 594-0228
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Bridget Thiel, DPTNPI 1255986105
Title
Ceo
Phone
(920) 594-0228

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

640 Walbrun St
Menasha, WI 54952-2249

Mailing address

640 Walbrun St
Menasha, WI 54952-2249
Phone (920) 594-0228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1467158220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WALBRUN ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522249",
            "telephone_number": "920-594-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WALBRUN ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522249",
            "telephone_number": "920-594-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEL OPTIMAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-594-0228",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.