OPTIMAL REHAB ABILITIES, INC (NPI# 1609946185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609946185 |
| Entity Type | Organization |
| Organization Name | OPTIMAL REHAB ABILITIES, INC |
| Practice Address |
1581 18th Ave Kingsburg CA 93631-2204 |
| Practice Telephone | 5598975270 |
| Practice Fax Number | 5598970920 |
| Mailing Telephone | 5598975270 |
| Mailing Fax Number | 5598970920 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | FRED MAH (VICE PRESIDENT) |
| Authorized Official Telephone | 5598975270 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT989469 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT3524 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PT GRP ID# | ZZZ06402Z | 01 |
| CA | BLUE SHIELD OT GRP ID3 | ZZZ06403Z | 01 |
| Street Address |
1581 18TH AVE |
| City | KINGSBURG |
| State | CA |
| Zip Code | 93631-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932286580 | Megan Alltucker | Occupational Therapist | 1581 18th Ave, Kingsburg, CA 93631-2204 | 2006-11-01 |
| 1720498033 | Brenda Denise Ayala Garcia | Physical Therapy Assistant | 1581 18th Ave, Kingsburg, CA 93631-2204 | 2014-05-08 |
| 1891139499 | Nicole Sayah | Physical Therapy Assistant | 1581 18th Ave, Kingsburg, CA 93631-2204 | 2013-04-25 |
| 1174666424 | Mitchell David Elkins | Physical Therapist | 1581 18th Ave, Kingsburg, CA 93631-2204 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799790 | Eric Lane Silvius | Technician | 2340 18th Avenue, Kingsburg, CA 93631 | 2019-09-18 |
| 1356855647 | Henry Pereschica | Interpreter | 221 Mariposa St, Kingsburg, CA 93631 | 2017-11-22 |
| 1386796423 | Tri County Family Medical Clinic | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-17 |
| 1558665877 | Robert B Stillwagon | Physical Therapist | 392 Sierra St, Kingsburg, CA 93631 | 2010-12-29 |
| 1104074400 | Kingsburg Family Dental | Dentist | 1064 Lewis St, Kingsburg, CA 93631 | 2008-08-29 |
| 1447303268 | Gregory A Dunford | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1154474971 | Bruce A Trevino | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1790792356 | Model Drug Inc | Pharmacy | 1506 Draper St, Kingsburg, CA 93631 | 2006-08-03 |
| 1699760090 | Shaunna Shortes | Family Medicine | Po Box 472, Kingsburg, CA 93631-0472 | 2005-09-13 |
| 1386830214 | Kingsburg Joint Union Elementary | Local Education Agency (LEA) | 1310 Stroud Ave, Kingsburg, CA 93631-1000 | 2007-09-25 |
| Find all providers in zip 93631 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043377328 | Allison E Sandquist | Physical Therapist | 392 Sierra St, Kingsburg, CA 93631-1706 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.