Active NPI
Optimum Performance Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Towson, MD
National Provider Identifier
1043632383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 20705
- 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
- Last updated
- Jan 6, 2014
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 20705 | MD | Primary |
Addresses
Primary practice location
8600 Lasalle Road
Chester Building, Suite 322
Towson, MD 21286
Mailing address
8600 Lasalle Road
Chester Building, Suite 322
Towson, MD 21286
Phone (410) 828-6778
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Towson, MD
- NPI 1528159274
NPI Registry JSON
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": []
}
Other providers in Towson, MD
- Chinenye Izuada Onyima
- Maw Naing Oo, M.D.
- Rachel Pearl Oppenheimer, LGPC
- Optimal Healthcare Services LLC
- Optimal Healthcare Services LLC
- Orchard Hill Operator LLC (Orchard Hill Rehabilitation and Healthcare Center)
- Orchard Hill Operator LLC (Orchard Hill Rehabilitation and Healthcare Center)
- Laurie S Orgel, M.D.
- Diane Julie Orlinsky, M.D.
- Orthopaedic Associates PA
Sources for this page
- 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.