Provider Demographics
NPI:1871721415
Name:OPTIMAL THERAPY
Entity type:Organization
Organization Name:OPTIMAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:COYHIS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:719-271-0441
Mailing Address - Street 1:5720 ELDORA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1708
Mailing Address - Country:US
Mailing Address - Phone:719-271-0441
Mailing Address - Fax:719-598-7612
Practice Address - Street 1:5720 ELDORA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1708
Practice Address - Country:US
Practice Address - Phone:719-271-0441
Practice Address - Fax:719-598-7612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health