NPIMap

Organization Active NPI

Optimum Therapies, LLC

  • Physical Therapy Clinic/Center
  • Bloomer, WI
National Provider Identifier
1558226399
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMUM THERAPIES, LLC
Practice address
1731 17TH Ave
Bloomer, WI 54724-1512
Phone
(715) 855-0430
NPI assigned
Dec 23, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTIMUM THERAPIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Jodi Drake
Title
Revenue Cycle Manager
Phone
(715) 607-1758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1731 17TH Ave
Bloomer, WI 54724-1512

Mailing address

517 E Clairemont Ave
Eau Claire, WI 54701-6479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000087 WI Part B Supplier - Clinic/Group Practice 3375430028 Receives reassigned benefits from 16 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chippewa Falls, WI; Bloomer, WI; Menomonie, WI; Eau Claire, WI

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Optimum Therapies LLC5 organizations share this tax ID, including this one
Part of
Optimum Therapies LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1731 17th Ave
Bloomer, WI 54724
Phone (715) 568-4669

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": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1558226399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 17TH AVE",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241512",
            "telephone_number": "715-855-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM THERAPIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM THERAPIES, LLC",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "715-607-1758"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.