Optah Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTAH PHYSICAL THERAPY

Practice address

467 Rockway Blvd NE
Rio Rancho, NM 87124-4473

Phone

(505) 319-8564

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Lainie Garcia, MPT, MLD CERTIFIEDNPI 1578816468

Title

Physical Therapist, Owner

Phone

(505) 319-8564

Specialties & licenses 1

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.

• Lainie Garcia, MPT

  • Physical Therapist
  • Rio Rancho, NM
  • NPI 1578816468
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1992484810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ROCKWAY BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244473",
            "telephone_number": "505-319-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 ROCKWAY BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244473",
            "telephone_number": "505-319-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTAH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LAINIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "505-319-8564",
        "authorized_official_credential": "MPT, MLD CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Nicholas Olson
• Rachel Kathryn Olson, DPT
• Lindsy Marie Nicole Oneill
• Erwyn Chua Ong, M.D.
• Michelle M Ontiveros
• Aldo J Ornelas, DPT
• Gabriella Orr-Dick
• Margarita Ortega Y Gomez, OTR/L
• Ann L Ortega, D.D.S.
• Ashlea Nicole Ortega

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.