OPTIMA REHABILITATION SERVICES LTD. NPI 1952303380

NPI Information

NPI: 1952303380
Provider Name: OPTIMA REHABILITATION SERVICES, LTD.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
27 ST LAWRENCE DRIVE
SUITE 104
TIFFIN, OH
ZIP 44883
Phone: (419) 447-7203
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OPTIMA REHABILITATION SERVICES, LTD. is a rehabilitation clinic center in Tiffin, OH. OPTIMA REHABILITATION SERVICES, LTD. NPI is 1952303380. The provider is registered as an organization entity type.

The provider's business location address is:

27 ST LAWRENCE DRIVE
SUITE 104
TIFFIN, OH
ZIP 44883-572
Phone: (419) 447-7203
Fax: (419) 447-5577

The provider's authorized official is Mark Somodi .
The authorized official title is Executive Director and has the following contact phone number (419) 447-7203.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 9/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	OHIO	TAX ID
2	366662	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	2038968	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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