Active NPI
Optage Inc
Doing business as Eaglecrest
- Rehabilitation Clinic/Center
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- OPTAGE INC
- Doing business as
- Eaglecrest
Presbyterian Homes and Services Rehabilitation - Practice address
- 2945 Lincoln Dr
Roseville, MN 55113-1338 - Phone
- (651) 631-5415
- NPI assigned
- Sep 5, 2022
- Last updated
- Jul 11, 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 Rue
- Title
- Director of Rehabilitation
- Phone
- (651) 631-6415
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
2945 Lincoln Dr
Roseville, MN 55113-1338
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Other names 2
- Eaglecrest
- Presbyterian Homes and Services Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| 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 Practice locations: Woodbury, MN; White Bear Lake, MN; Shorewood, MN; Saint Paul, MN; Inver Grove Heights, MN; Roseville, MN; Richfield, MN; Plymouth, MN… |
| O20230210001234 | MN | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 2264619345 | Practice locations: Roseville, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801517230. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 246618
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- OPTAGE, INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Nov 10, 2023
- Last certification
- Nov 10, 2023
- Ownership / control type
- Voluntary Non-Profit Other Than Church
- Facility address
- 2945 Lincoln Drive
Roseville, MN 55113
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
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Presbyterian Home Care
- Home Health Agency
- Roseville, MN
- NPI 1881618544
Member Of
Practitioners & affiliated clinicians
Practitioners 69
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
- 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
-
- Occupational Therapist
- Watertown, MN
- NPI 1639362718
-
- Physical Therapist
- Minnetonka, MN
- NPI 1033329008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1801517230",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 LINCOLN DR",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131338",
"telephone_number": "651-631-5415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-05",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "RUE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
"authorized_official_telephone_number": "651-631-6415"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eaglecrest",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Presbyterian Homes and Services Rehabilitation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Presbyterian Homes and Services Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roseville, MN
- Abdi S Omer
- Nura Abdi Omer
- Omnipotent Youth Society L.L.C. (Good Soup Counseling)
- Onefamily Therapy & Wellness Center LLC (OneFamily Therapy & Wellness Center)
- Rachael Marie Opseth
- Optage Primary Care, LLC
- Option Care Enterprises, Inc. (Option Care)
- Option Care Enterprises, Inc. (Option Care)
- Optometric Services, LLC
- Optum Infusion Services 500, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.