Optimum Care Provider, Inc. in Victorville, CA

Optimum Care Provider, Inc. is a Physical Therapist based in Victorville, California. Optimum Care Provider, Inc. is licensed to practice in California (license number 33402) and their current practice location is 12381 Bali St, Victorville, California. It can be reached at their office (for appointments etc.) via phone at (909) 509-6064.

NPI number for Optimum Care Provider, Inc. is 1114211885 and their current mailing address is 15260 Anacapa Rd Ste A12, Victorville, California. Optimum Care Provider, Inc. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114211885.

Contact Information

	Optimum Care Provider, Inc.
	12381 Bali St, Victorville, CA 92392-6825
	(909) 509-6064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Optimum Care Provider, Inc.
Type	Facility
Speciality	Physical Therapist
Location	12381 Bali St, Victorville, California
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1114211885
Provider Enumeration Date: 05/31/2011
Last Update Date: 10/15/2023

Medical Identifiers

Medical identifiers for Optimum Care Provider, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114211885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	33402 (California)	Primary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Optimum Care Provider, Inc. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Optimum Care Provider, Inc. 15260 Anacapa Rd Ste A12, Victorville, CA 92392-2565 Ph: (909) 509-6064	Optimum Care Provider, Inc. 12381 Bali St, Victorville, CA 92392-6825 Ph: (909) 509-6064

Reviews and Comments

Physical Therapist in Victorville, CA

Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062

Optimum Care Provider, Inc. - Physical Therapist in Victorville, CA