Orthopaedic Physical Therapy Institute

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORTHOPAEDIC PHYSICAL THERAPY INSTITUTE

Doing business as

Opti

Practice address

5225 Canyon Crest Dr
Suite 205
Riverside, CA 92507-6301

Phone

(951) 683-3309

Fax

(951) 683-1886

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregg A Olsen, P.T.NPI 1881771236

Title

Owner

Phone

(951) 683-3309

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OPTI Doing business as

Locations

Practitioners 4

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

• Gregg A Olsen, PT

  • Physical Therapist
  • Riverside, CA
  • NPI 1881771236
  NPD (past) Authorized official
• Traci Holland-Vincent, PT

  • Physical Therapist
  • Riverside, CA
  • NPI 1982835773
  NPD (past)
• Jonathan David Robbins, PT, DPT

  • Physical Therapist
  • Riverside, CA
  • NPI 1922750447
  NPD (past)
• Chandra Whitaker, DPT

  • Physical Therapist
  • Riverside, CA
  • NPI 1902284912
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1770700023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR",
            "address_2": "SUITE 205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076301",
            "telephone_number": "951-683-3309",
            "fax_number": "951-683-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CANYON CREST DR",
            "address_2": "SUITE 205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076301",
            "telephone_number": "951-683-3309",
            "fax_number": "951-683-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC PHYSICAL THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-683-3309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DF4479",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ30613Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc. (Aim Hi Therapy Center)
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Medical Group of Riverside, Inc.
• Orthopaedic Surgery Medical Group
• Rosario Elizabeth Ortiz -Palomino
• Silvia Ortiz Leon
• Ana Maria Ortiz Liborio
• Natalie Guadalupe Ortiz Robles

• Physical Therapy Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapy Clinic/Center in California

• 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.