Optimum Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMUM PHYSICAL THERAPY, PC

Practice address

13906 Gold Cir
Suite 103
Omaha, NE 68144-2335

Phone

(402) 639-6708

Fax

(402) 614-4730

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Casandra Marie Baker, P.T., O.C.SNPI 1558432807

Title

Owner-Therapist

Phone

(402) 639-6708

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casandra Marie Baker, PT

  • Physical Therapist
  • Omaha, NE
  • NPI 1558432807
  NPD (past) Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1487832465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45502",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681450502",
            "telephone_number": "402-639-6708",
            "fax_number": "402-614-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442335",
            "telephone_number": "402-639-6708",
            "fax_number": "402-614-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER-THERAPIST",
        "authorized_official_telephone_number": "402-639-6708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., O.C.S"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0781",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F24487",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Option Care Enterprises, Inc.
• Optum Behavioral Care of Ohio, Inc
• Optum Behavioral Care of Ohio, Inc
• Optum Behavioral Care of Ohio, Inc.

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.