Optimum Wellness and Rehabilitation PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.005639 Issued in IL

Legal business name

OPTIMUM WELLNESS AND REHABILITATION PC

Practice address

3407 S State Route 157
Glen Carbon, IL 62034-1042

Phone

(618) 288-3610

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard C Coy, DC

Title

President

Phone

(618) 288-3610

Specialties & licenses 2

Addresses

Practitioners 4

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

• Matthew Ray Chenault, D. C.

  • Chiropractor
  • Greenville, IL
  • NPI 1215027438
  NPD
• D'Andrienne C. Jones, MD

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1760455661
  NPD
• Philip S Dudak, DC, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1720067051

  Chiropractor

  NPD
• Cynthia Cheely, P.T.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1295840403
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861540239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S STATE ROUTE 157",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341042",
            "telephone_number": "618-288-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 S STATE ROUTE 157",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341042",
            "telephone_number": "618-288-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WELLNESS AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.005639",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-006607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Ochs, PHARMACY STUDENT
• April Noel Oehl, APN-FNP
• Kathryn A. Oland, DPT
• Leah A Oliver, RBT
• Briana Leigh Oller, DMD
• Toni Lee Ostmann, NP-C
• Anna Renee Owens, RBT
• Davide Pace
• Megan Leslie Pani
• Natalie J Parr

• Chiropractor in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.