Organization Active NPI

Optimum Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1659836633
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMUM THERAPY AND WELLNESS, LLC
Practice address
2020 N Academy Blvd
Colorado Springs, CO 80909-1567
Phone
(913) 269-6120
Fax
(719) 219-2321
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. Erin Marie Slivka, DPT
Title
Physical Therapist
Phone
(913) 269-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2020 N Academy Blvd
Colorado Springs, CO 80909-1567

Mailing address

6349 Farthing Dr
Colorado Springs, CO 80906-7504
Phone (913) 269-6120

Other identifiers 1

IdentifierTypeStateIssuer
29220025MedicaidCO

National Provider Directory

National Provider Directory

Locations

2020 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 291-7623

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1659836633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 FARTHING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067504",
            "telephone_number": "913-269-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "913-269-6120",
            "fax_number": "719-219-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "SLIVKA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-269-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29220025",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.