NPIMap

Organization Active NPI

Optimum Physical Therapy

  • Physical Therapy Clinic/Center
  • Omaha, NE
National Provider Identifier
1679782601
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
600 Issued in NE
Legal business name
OPTIMUM PHYSICAL THERAPY
Practice address
13906 Gold Cir
Suite 103
Omaha, NE 68144-2335
Phone
(402) 639-6708
Fax
(402) 614-4730
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mrs. Casandra Marie Baker, P.T., O.C.S.NPI 1558432807
Title
Owner, Therapist
Phone
(402) 639-6708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 600 NE Primary

Addresses

Primary practice location

13906 Gold Cir
Suite 103
Omaha, NE 68144-2335

Mailing address

PO Box 45502
Omaha, NE 68145-0502
Phone (402) 639-6708

Other identifiers 3

IdentifierTypeStateIssuer
39525OtherNEBCBS
DF0781OtherNERAILROAD MEDICARE
F244879OtherNEMIDLANDS CHOICE

National Provider Directory

National Provider Directory

Locations

13906 Gold Cir
Ste 103
Omaha, NE 68144
Phone (402) 639-6708

Practitioners & affiliated clinicians

Practitioners 2

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1679782601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45502",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681450502",
            "telephone_number": "402-639-6708",
            "fax_number": "402-614-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13906 GOLD CIR",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442335",
            "telephone_number": "402-639-6708",
            "fax_number": "402-614-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "402-639-6708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39525",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0781",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F244879",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.