OPTIMAL THERAPY FOR KIDS, LLC


Address: 1145 Rock Creek Dr S, Salem, OR 97306-2222
Phone: 5034536335

OPTIMAL THERAPY FOR KIDS, LLC (NPI# 1790189025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790189025
Entity Type Organization
Organization Name OPTIMAL THERAPY FOR KIDS, LLC
Practice Address 1145 Rock Creek Dr S
Salem
OR 97306-2222
Practice Telephone 5034536335
Mailing Telephone 5034536335
Enumeration Date 2014-10-15
Last Update Date 2014-10-15
Authorized Official Name SASCHA GERVAIS (OWNER/PHYSICAL THERAPIST)
Authorized Official Telephone 5034536335
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
306415 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
4469 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1145 ROCK CREEK DR S
City SALEM
State OR
Zip Code 97306-2222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134609050 Andrea P Merryman Dental Assistant 5135 Skyline Rd South, Salem, OR 97306 2018-08-20
1215470315 Anthony Quoc Ngo Nurse Practitioner 5050 Skyline Village Loop, Salem, OR 97306 2016-11-22
1134521305 Wendy Poling Occupational Therapy Assistant 1966 Madras St Se Apt 1082, Salem, OR 97306 2014-09-19
1659601045 Monarch Medical Group LLC Clinic/Center 5686 Commercial St Se, Suite 100, Salem, OR 97306 2010-01-06
1316188006 Judith A Mitchell Physician Assistant 4999 Skyline Rd. S., Salem, OR 97306 2009-03-10
1164685574 Leon Chira Pharmacist 2431 Concomly Rd S, Salem, OR 97306 2008-07-07
1912175035 Salem Clinic, PC General Practice 2531 Boone Road Se, Salem, OR 97306 2008-02-11
1326257486 Robert Allen Long Physical Therapist 6250 Commercial St N.e., Salem, OR 97306 2007-05-22
1922137504 Charlene Garbutt Dental Assistant 5135 Skyline Rd. S., Salem, OR 97306 2007-03-02
1417085747 Michelle West Dental Assistant 5135 Skyline R S, Salem, OR 97306 2007-02-28
Find all providers in zip 97306

Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679740609 Ruth E Rotert Physical Therapist 25523 442nd Ave, Salem, SD 57058-5519 2008-05-08
1508047721 Laurie English Physical Therapist 11 Redwood Rd, Salem, NH 03079-3489 2007-11-15
1083829030 Greenwood Therapy Services Physical Therapist 18 Ansel St, Salem, NH 03079-4550 2007-05-12
1043519242 Erin Apo Physical Therapist 70 Butler St, Salem, NH 03079-3974 2011-03-28
1609058502 Jessica Lynn Selock Physical Therapist 2 Keewaydin Dr, Salem, NH 03079-2839 2007-12-03
1972719870 Jonathan Mark Greenwood Physical Therapist 18 Ansel St, Salem, NH 03079-4550 2007-05-15
1073642922 Elizabeth Shirley Physical Therapist 2262 Banyonwood Ave Nw, Salem, OR 97304-1341 2007-03-05
1467437244 Barbara Jacqueline Petersen Physical Therapist 290 Moyer Ln Nw, Salem, OR 97304-3822 2005-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275156101 Pace Pediatric Therapy, Inc. Physical Therapist 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 2020-05-27
1427691740 First Steps Physical Therapy, LLC Physical Therapist 911 Main St Ste 100, Oregon City, OR 97045-1853 2019-10-18
1467804773 Rebecca D. Sander Physical Therapist 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 2016-07-11
1841426434 Rebecca Additon Veltri Physical Therapist 32513 Joseph Ln, Philomath, OR 97370-9130 2009-06-09
1396943932 Kathleen Marie Hogan Physical Therapist 132 Formac Ave, Eugene, OR 97404-2606 2007-07-05
1306050646 Pediatric Therapyworks Physical Therapist 30714 Se Dodge Park Blvd, Gresham, OR 97080-8961 2007-05-09
1790814200 Susan Nicklin Physical Therapist 945 S Riverside Ave, Medford, OR 97501-7841 2007-03-02
1396898441 Johanna Lydia Buck Physical Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2007-01-20
1912068941 Sandra Lee Saavedra Physical Therapist 1763 Moss St, Eugene, OR 97403-1946 2006-12-13
1164598462 Joy Danielle Shank Physical Therapist 7203 Se Raymond St, Portland, OR 97206-4323 2006-11-28
Find all providers with the same taxonomy

Competitor

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City SALEM
Zip Code 97306

Improve Information

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Dataset Information

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.

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