NPIMap

Organization Active NPI

Orthopedic Physical Therapy Institute, Inc.

Doing business as Opti

  • Physical Therapy Clinic/Center
  • Modesto, CA
National Provider Identifier
1619398062
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT35400 Issued in CA
Legal business name
ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC.
Doing business as
Opti
Practice address
4028 Dale Rd
Suite 101
Modesto, CA 95356-9561
Phone
(209) 312-9739
Fax
(209) 312-9747
NPI assigned
Jan 1, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Travis Bartelink, DPTNPI 1548409147
Title
Ceo
Phone
(209) 312-9739

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 Therapy Clinic/Center 261QP2000X PT35400 CA Primary

Addresses

Primary practice location

4028 Dale Rd
Suite 101
Modesto, CA 95356-9561

Mailing address

4028 Dale Rd
Suite 101
Modesto, CA 95356-9561
Phone (209) 312-9739

Other names 1

  • OPTI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001371 CA Part B Supplier - Clinic/Group Practice 2264663822 Receives reassigned benefits from 6 practitioners
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

3609 Oakdale Rd
Ste 3
Modesto, CA 95357
Phone (209) 312-9591

4028 Dale Rd
Ste 101
Modesto, CA 95356
Phone (209) 312-9739

Practitioners & affiliated clinicians

Practitioners 6

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": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1619398062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 DALE RD",
            "address_2": "SUITE 101",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569561",
            "telephone_number": "209-312-9739",
            "fax_number": "209-312-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 DALE RD",
            "address_2": "SUITE 101",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569561",
            "telephone_number": "209-312-9739",
            "fax_number": "209-312-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "BARTELINK",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-312-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT35400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.