Healthcare Provider Details

I. General information

NPI: 1942211669
Provider Name (Legal Business Name): OPTIMAL REHAB ABILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 N CEDAR AVE #103
FRESNO CA
93720-3838
US

IV. Provider business mailing address

7405 N CEDAR AVE #103
FRESNO CA
93720-3838
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-4100
  • Fax: 559-261-4101
Mailing address:
  • Phone: 559-261-4100
  • Fax: 559-261-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT6214
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT17168
License Number StateCA

VIII. Authorized Official

Name: MS. LINDSAY YOUNG
Title or Position: DIRECTOR
Credential: PT
Phone: 559-261-4100