NPIMap

Organization Active NPI

Optimum Therapies of Rice Lake

  • Physical Therapist
  • Barron, WI
National Provider Identifier
1982296331
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMUM THERAPIES OF RICE LAKE
Practice address
1151 E Division Ave
Barron, WI 54812-1234
Phone
(715) 855-0408
Fax
(715) 855-0409
NPI assigned
Feb 8, 2021
Organization subpart
Yes
Parent organization
OPTIMUM THERAPIES OF RICE LAKE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Optimum Therapies of Lake LLC
Title
Billing
Phone
(715) 236-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1151 E Division Ave
Barron, WI 54812-1234

Mailing address

1151 E Division Ave
Barron, WI 54812-1234
Phone (715) 855-0408

Other names 1

  • Optimum Therapies of Rice Lake, LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address RLadmin@optimumtherapies.com Direct
Direct Messaging Address rladmin@optimumtherapies.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002111 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678904042 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Barron, WI; Rice Lake, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optimum Therapies of Rice Lake2 organizations share this tax ID, including this one
Part of
Optimum Therapies of Rice Lake

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1151 E Division Ave
Barron, WI 54812
Phone (715) 236-3610

2600 S Wisconsin Ave
Ste A
Rice Lake, WI 54868
Phone (715) 236-3610

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1982296331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E DIVISION AVE",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548121234",
            "telephone_number": "715-855-0408",
            "fax_number": "715-855-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E DIVISION AVE",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "548121234",
            "telephone_number": "715-855-0408",
            "fax_number": "715-855-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM THERAPIES OF RICE LAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM THERAPIES OF RICE LAKE, LLC",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "OPTIMUM THERAPIES OF",
        "authorized_official_middle_name": "LAKE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "715-236-3610"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RLadmin@optimumtherapies.com",
            "affiliation": "N",
            "endpointDescription": "Billing office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RLadmin@optimumtherapies.com",
            "address_1": "1151 E Division Ave",
            "city": "Barron",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548121234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rladmin@optimumtherapies.com",
            "affiliation": "N",
            "endpointDescription": "billing office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rladmin@optimumtherapies.com",
            "address_1": "1151 E Division Ave",
            "city": "Barron",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548121234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optimum Therapies of Rice Lake, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barron, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.