MEDICARE: OPTIMAL CARE THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1659261592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL CARE THERAPY LLC

Provider Business Mailing Address
First Line	:	6234 N CENTRAL PARK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-2202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6234 N CENTRAL PARK AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-2202
Country	:	US
Telephone Number	:	773-234-9233
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOSHE MORDECHAI WEINREB
Credential	:
Telephone Number	:	773-234-9233

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	03/06/2026

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