NPIMap

Organization Active NPI

Optima Sports Therapy & Rehabilitation

  • Occupational Therapist
  • Salem, NH
National Provider Identifier
1669797239
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OPTIMA SPORTS THERAPY & REHABILITATION
Practice address
16 Pelham Rd
Suite 2
Salem, NH 03079-2826
Phone
(603) 894-1111
Fax
(603) 894-1113
NPI assigned
Apr 7, 2010
Organization subpart
Yes
Parent organization
ESSEX ORTHOPAEDICS & OPTIMA SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Tahsin Mark Ergin, MD
Title
Partner
Phone
(603) 898-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

16 Pelham Rd
Suite 2
Salem, NH 03079-2826

Mailing address

16 Pelham Rd
Suite 2
Salem, NH 03079-2826
Phone (603) 894-1111

National Provider Directory

National Provider Directory
Part of
Essex Orthopaedics Optima Sport Medicine PLLC

Locations

16 Pelham Rd
Ste 2
Salem, NH 03079
Phone (603) 894-1111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1669797239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792826",
            "telephone_number": "603-894-1111",
            "fax_number": "603-894-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PELHAM RD",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792826",
            "telephone_number": "603-894-1111",
            "fax_number": "603-894-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA SPORTS THERAPY & REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSEX ORTHOPAEDICS & OPTIMA SPORTS MEDICINE",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "ERGIN",
        "authorized_official_first_name": "TAHSIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-898-2244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.