Organization Active NPI

Optimal Physical Therapy,LLC

  • Physical Therapist
  • Makawao, HI
National Provider Identifier
1063492858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2080 Issued in HI
Legal business name
OPTIMAL PHYSICAL THERAPY,LLC
Practice address
87 Hoolai St
Makawao, HI 96768-9321
Phone
(808) 281-4556
Fax
(808) 572-0113
NPI assigned
Jan 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Suzanne Nagy, MSPTNPI 1033230891
Title
Manager
Phone
(808) 281-4556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2080 HI Primary

Addresses

Primary practice location

87 Hoolai St
Makawao, HI 96768-9321

Mailing address

PO Box 791829
Paia, HI 96779-1829
Phone (808) 281-4556

Other identifiers 1

IdentifierTypeStateIssuer
53192201MedicaidHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063492858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791829",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967791829",
            "telephone_number": "808-281-4556",
            "fax_number": "808-572-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HOOLAI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689321",
            "telephone_number": "808-281-4556",
            "fax_number": "808-572-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-281-4556",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53192201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.