Optimal Senior Living, LLC

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Legal business name

OPTIMAL SENIOR LIVING, LLC

Practice address

4701 Morris St NE Apt 2702
Albuquerque, NM 87111-7736

Phone

(505) 750-0661

Fax

(505) 581-3286

NPI assigned

Jul 22, 2024

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Underwood, OTRNPI 1922353606

Title

Occupational Therapist

Phone

(505) 750-0661

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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.

• Nicole Simone Underwood

  • Occupational Therapist
  • Federal Way, WA
  • NPI 1922353606

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1841028818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MONTGOMERY BLVD NE # 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113962",
            "telephone_number": "505-750-0661",
            "fax_number": "505-581-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MORRIS ST NE APT 2702",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117736",
            "telephone_number": "505-750-0661",
            "fax_number": "505-581-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "505-750-0661",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kathryn Oppel-Brown, D.D.S.
• Julia Oppenheimer
• Optic Expressions Eyewear
• Optihealth, Inc.
• Optimal Behavioral Services LLC
• Optimal Wellness Journey
• Optimum Counseling, LLC
• Option 1 Nutrition Solutions LLC
• Options Acupuncture
• Optum Behavioral Care of Ohio, Inc.

• Gerontology Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gerontology Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.