Active NPI
Optage Inc
Doing business as Presbyterian Homes and Services Rehabilitation
- Rehabilitation Clinic/Center
- Mahtomedi, MN
National Provider Identifier
1699464149
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
St. Andrew's Village - Practice address
- 240 East Ave
Mahtomedi, MN 55115-2279 - Phone
- (651) 631-6570
- NPI assigned
- May 2, 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
- (651) 631-6415
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
240 East Ave
Mahtomedi, MN 55115-2279
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Phone (651) 631-6415
Other names 2
- Presbyterian Homes and Services Rehabilitation
- St. Andrew's Village
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
- Plymouth, MN
- NPI 1669168167
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
Locations
6307 Burnham Cir
Inver Grove Heights, MN 55076
Phone (612) 562-6694
Practitioners & affiliated clinicians
Practitioners 40
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.
-
- Geriatric Physical Therapist
- Oak Park Heights, MN
- NPI 1063230118
-
- Speech-Language Pathologist
- Roseville, MN
- NPI 1508432865
-
- Occupational Therapist
- Roseville, MN
- NPI 1346014586
-
- Speech-Language Pathologist
- Bloomington, MN
- NPI 1841954716
-
- Occupational Therapist
- Mahtomedi, MN
- NPI 1831985290
-
- Physical Therapist
- Blaine, MN
- NPI 1003536434
-
- Physical Therapist
- Roseville, MN
- NPI 1073734976
-
- Occupational Therapist
- Prior Lake, MN
- NPI 1568140085
-
- Speech-Language Pathologist
- Prior Lake, MN
- NPI 1033004981
-
- Occupational Therapist
- Plymouth, MN
- NPI 1376220285
-
- Occupational Therapist
- Bloomington, MN
- NPI 1174201693
-
- Physical Therapist
- Saint Paul, MN
- NPI 1518712751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1699464149",
"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": "240 EAST AVE",
"city": "MAHTOMEDI",
"state": "MN",
"postal_code": "551152279",
"telephone_number": "651-631-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"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": "651-631-6415"
},
"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": "St. Andrew's Village",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mahtomedi, MN
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.