Active NPI
Optimum Therapy LLC
- Early Intervention Provider Agency
- Minneapolis, MN
National Provider Identifier
1619582103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- OPTIMUM THERAPY LLC
- Practice address
- 2943 Portland Ave
Minneapolis, MN 55407-1315 - Phone
- (612) 504-9988
- NPI assigned
- Sep 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilo G Amba
- Title
- Owner
- Phone
- (612) 504-9988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
2943 Portland Ave
Minneapolis, MN 55407-1315
Mailing address
2943 Portland Ave
Minneapolis, MN 55407-1315
Phone (612) 504-9988
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1619582103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2943 PORTLAND AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071315",
"telephone_number": "612-504-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2943 PORTLAND AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071315",
"telephone_number": "612-504-9988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "AMBA",
"authorized_official_first_name": "ILO",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-504-9988"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
- Optimal Care Services Inc
- Optimal Health Solutions LLC
- Optimal Solution Services
- Optimist Hope Childrens Center Inc
- Optimum Recovery Services
- Optum Behavioral Care of Colorado, P.C.
- Optum Behavioral Care of New Jersey P C
- Optum Behavioral Care of North Carolina, PC
- Optum Behavioral Care of Texas, P.a.
- Optuma Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.