Provider Demographics
NPI:1972009637
Name:OPTIMAL THERAPY BILLING
Entity Type:Organization
Organization Name:OPTIMAL THERAPY BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:P
Authorized Official - Last Name:LANEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-301-2888
Mailing Address - Street 1:6547 N ACADEMY BLVD STE 1131
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-8342
Mailing Address - Country:US
Mailing Address - Phone:719-301-2888
Mailing Address - Fax:
Practice Address - Street 1:6547 N ACADEMY BLVD STE 1131
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8342
Practice Address - Country:US
Practice Address - Phone:719-301-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171W00000X
208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO127813OtherMEDICAL BILLING
CO127813Medicaid