Optimum Rehabilitation and Chiropractic, LTD.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036056126 Issued in IL

Legal business name

OPTIMUM REHABILITATION AND CHIROPRACTIC, LTD.

Practice address

1860 S Bell School Rd
Cherry Valley, IL 61016-9372

Phone

(815) 580-8270

Fax

(815) 580-8278

NPI assigned

Jul 18, 2006

Last updated

Jun 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Drake, D.C.NPI 1083767727

Title

President

Phone

(815) 580-8280

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• James Edgar Wayne Drake, D.C.

  • Rehabilitation Chiropractor
  • Cherry Valley, IL
  • NPI 1083767727
  Medicare reassignment Care Compare group NPD Authorized official
• Bernadette S Petalber, LPT

  • Physical Therapist
  • Cherry Valley, IL
  • NPI 1326152018
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1629096417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169372",
            "telephone_number": "815-580-8270",
            "fax_number": "815-580-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169372",
            "telephone_number": "815-580-8270",
            "fax_number": "815-580-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM REHABILITATION AND CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-580-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38-010047",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036056126",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Logan, LCSW
• Jessey Mathew, MD
• Mo Chara Hospice LLC
• Racheal Rene Morse, SLP
• Richard R. Olson, M.D.
• Bernadette S Petalber, LPT
• Megan Rankin
• Maria P Rodriguez
• Joseph Michael Schoening, D.D.S.
• Sparrow Hope Counseling PLLC

• Physical Medicine & Rehabilitation Physician in Cherry Valley, IL
• Providers in Cherry Valley, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.