Performance Optimal Health Bonita Springs, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORMANCE OPTIMAL HEALTH BONITA SPRINGS, LLC

Practice address

9122 Bonita Beach Rd SE
Bonita Springs, FL 34135-4207

Phone

(239) 342-1340

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Todd Wilkowski, DPT

Title

Founder & Ceo

Phone

(877) 379-4911

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1033836713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068070402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 BONITA BEACH RD SE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354207",
            "telephone_number": "239-342-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE OPTIMAL HEALTH BONITA SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "WILKOWSKI",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "877-379-4911",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@performanceoptimalhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9122 Bonita Beach Rd SE",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341354207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aida Susana Perez Lezcano
• Dessire Perez
• Hugo Perez, M.D. F.A.A.P.
• Lee Tasha Perez, LMT, DOM, AP
• Nelly Marie Perez, M.D.
• Person Dental PLLC
• Felicia Peters, MS CCC SLP
• Mark E Petrites, MD
• Gregory Asher Pette, D.M.D., M.S.
• William A. Pettinger, M.D.

• Physical Therapy Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.