Active NPI
Optimum Therapy and Wellness, LLC
- Physical Therapy Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1659836633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29220025 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.