Organization Active NPI

Optimum Health Wellness and Rehab

  • Physical Therapist
  • Coral Springs, FL
National Provider Identifier
1033598107
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15114 Issued in FL
Legal business name
OPTIMUM HEALTH WELLNESS AND REHAB
Practice address
5645 Coral Ridge Dr
Suite 248
Coral Springs, FL 33076-3124
Phone
(954) 471-2582
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayette A Sewell, PT
Title
President
Phone
(954) 471-2582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT15114 FL Primary

Addresses

Primary practice location

5645 Coral Ridge Dr
Suite 248
Coral Springs, FL 33076-3124

Mailing address

5645 Coral Ridge Dr
Suite 248
Coral Springs, FL 33076-3124
Phone (954) 471-2582

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1033598107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR",
            "address_2": "SUITE 248",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763124",
            "telephone_number": "954-471-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR",
            "address_2": "SUITE 248",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763124",
            "telephone_number": "954-471-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH WELLNESS AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MAYETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-471-2582",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.