Optimum Performance Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20705 Issued in MD

Legal business name

OPTIMUM PERFORMANCE PHYSICAL THERAPY, LLC

Practice address

8600 Lasalle Road
Chester Building, Suite 322
Towson, MD 21286

Phone

(410) 828-6778

Fax

(410) 821-6778

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey Matthew Woods, PT

Title

Owner, Senior Physical Therapist

Phone

(410) 212-4128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1043632383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "CHESTER BUILDING, SUITE 322",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-828-6778",
            "fax_number": "410-821-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "CHESTER BUILDING, SUITE 322",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-828-6778",
            "fax_number": "410-821-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PERFORMANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, SENIOR PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-212-4128",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel Pearl Oppenheimer, LGPC
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• Physical Therapy Clinic/Center in Towson, MD
• Providers in Towson, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.