Active NPI
Optage Inc
Doing business as Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- OPTAGE INC
- Doing business as
- Presbyterian Homes and Services Rehabilitation
Summerwood Plymouth - Practice address
- 16205 36TH Ave N
Plymouth, MN 55446-3374 - Phone
- (651) 631-6570
- NPI assigned
- Apr 17, 2023
- Last updated
- Aug 4, 2023
- 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
- Ashley Leigh Rue
- Title
- Director of Rehabilitation
- Phone
- (612) 599-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
16205 36TH Ave N
Plymouth, MN 55446-3374
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6415
Other names 2
- Presbyterian Homes and Services Rehabilitation
- Summerwood Plymouth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221206001945 | MN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2264619345 |
Receives reassigned benefits from 44 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbury, MN; White Bear Lake, MN; Shorewood, MN; Saint Paul, MN; Inver Grove Heights, MN; Roseville, MN; Richfield, MN; Plymouth, MN… |
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba McKenna Crossing
- Rehabilitation Clinic/Center
- Prior Lake, MN
- NPI 1134818610
O20221206001945
-
dba Harbor Crossing
- Rehabilitation Clinic/Center
- White Bear Lake, MN
- NPI 1184313637
O20221206001945
-
dba Orchard Path
- Rehabilitation Clinic/Center
- Apple Valley, MN
- NPI 1326737883
O20221206001945
-
dba Highland Path
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1346930450
O20221206001945
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Chanhassen, MN
- NPI 1427747997
O20221206001945
-
dba Beacon Hill
- Rehabilitation Clinic/Center
- Minnetonka, MN
- NPI 1467141929
O20221206001945
-
dba Mainstreet Village
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1548959026
O20221206001945
-
dba Founders Ridge
- Rehabilitation Clinic/Center
- Bloomington, MN
- NPI 1578252938
O20221206001945
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Inver Grove Heights, MN
- NPI 1639890783
O20221206001945
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Shorewood, MN
- NPI 1689363046
O20221206001945
National Provider Directory
National Provider Directory- Tax ID family
- Optage Inc
Other organizations with this tax ID 18
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Burnsville, MN
- NPI 1265121735
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Chanhassen, MN
- NPI 1427747997
-
dba Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Inver Grove Heights, MN
- NPI 1639890783
Practitioners & affiliated clinicians
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.
-
- Occupational Therapist
- Roseville, MN
- NPI 1649908765
-
- Physical Therapist
- Golden Valley, MN
- NPI 1154640654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1669168167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 HAMLINE AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137127",
"telephone_number": "651-631-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16205 36TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463374",
"telephone_number": "651-631-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A",
"authorized_official_last_name": "RUE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
"authorized_official_telephone_number": "612-599-4469"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Presbyterian Homes and Services Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summerwood Plymouth",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plymouth, MN
- Ometta, LLC
- Titilope Olaoluwa Omisakin, DNP, APRN, CNP
- On-Belay of MN Incorporated (Anthony Louis Center)
- Steve Ongera-Ogega, ATC
- Opportunity Partners Inc. (Lavine Place)
- Optima Care, LLC (Optima Home Care, LLC)
- Optum Behavioral Care of Colorado, P.C.
- Lindsey Rae Orman
- Sydney Elizabeth Orr, OTR/L, OTD
- Orthodontic Care Group (Orthodontic Care Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.