NPIMap

Organization Active NPI

Optima Rehabilitation Services, LTD.

  • Rehabilitation Clinic/Center
  • Tiffin, OH
National Provider Identifier
1952303380
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OPTIMA REHABILITATION SERVICES, LTD.
Practice address
27 St Lawrence Drive
Suite 104
Tiffin, OH 44883-2572
Phone
(419) 447-7203
Fax
(419) 447-5577
NPI assigned
Aug 15, 2005
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mr. Mark Somodi
Title
Executive Director
Phone
(419) 447-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

27 St Lawrence Drive
Suite 104
Tiffin, OH 44883-2572

Mailing address

PO Box 833
Tiffin, OH 44883-0833
Phone (419) 447-7203

Other identifiers 1

IdentifierTypeStateIssuer
2038968MedicaidOH

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

541 W Market St
Tiffin, OH 44883
Phone (419) 448-3600

672 Miami St
Tiffin, OH 44883
Phone (419) 443-0199

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1952303380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448830833",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DRIVE",
            "address_2": "SUITE 104",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832572",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA REHABILITATION SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "SOMODI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-447-7203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.