Optimum Rehabilitation Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT0009763 Issued in FL

Legal business name

OPTIMUM REHABILITATION SPECIALISTS

Practice address

2718 Lee Blvd #C
Lehigh Acres, FL 33971-1537

Phone

(239) 303-9100

Fax

(239) 303-9101

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brendan Malik, MDNPI 1023384930

Title

MD

Phone

(330) 285-0592

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Brendan Rajesh Malik, M.D.

  • Internal Medicine Physician
  • Riverview, FL
  • NPI 1023384930
  NPD Authorized official
• Rudolph Mickey Jones, PT, DPT, CBC, FNP-C

  • Family Nurse Practitioner
  • Lehigh Acres, FL
  • NPI 1982873493

  Specialist

  NPD (past)
• Emily Ann Kupper, PT, DPT

  • Orthopedic Physical Therapist
  • Lehigh Acres, FL
  • NPI 1093380156
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604793600000",
    "number": "1619936663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3576",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721005",
            "telephone_number": "330-285-0592",
            "fax_number": "888-803-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 LEE BLVD #C",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711537",
            "telephone_number": "239-303-9100",
            "fax_number": "239-303-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-285-0592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT0009763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RE1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "686674",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "RE1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "RB6",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristian Olson
• Omahealth Services
• On Time Home Health Care Inc
• Onsite Mobile Lab Services LLC
• Optimum Home Health Care
• Optimum Rehabilitation Specialists, Inc
• Neifer Oquendo
• Jean Orelien
• Andrea Orellana
• Mermanivz Orelus, APRN

• Specialist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.