Optimal Choice Therapy, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

056.009367 Issued in IL

Legal business name

OPTIMAL CHOICE THERAPY, LLC

Practice address

18310 Cherry Creek Dr
Unit 2
Homewood, IL 60430-2932

Phone

(888) 851-4221

Fax

(888) 851-4221

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Miranda Palmer, OTD, OTR/L

Title

Director

Phone

(312) 919-4008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1528415668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 CHERRY CREEK DR",
            "address_2": "UNIT 2",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302932",
            "telephone_number": "888-851-4221",
            "fax_number": "888-851-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 CHERRY CREEK DR",
            "address_2": "UNIT 2",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302932",
            "telephone_number": "888-851-4221",
            "fax_number": "888-851-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHOICE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-919-4008",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "056.009367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.