NPIMap

Organization Active NPI

Optimize Therapy and Fitness LLC

  • Physical Therapy Clinic/Center
  • Laurel, MD
National Provider Identifier
1093248452
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMIZE THERAPY AND FITNESS LLC
Practice address
10981 Johns Hopkins Rd
Suite 210
Laurel, MD 20723-6002
Phone
(301) 356-5500
Fax
(800) 356-5502
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Douglas R Fischer, COTANPI 1285174110
Title
Owner
Phone
(301) 356-5500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Physical Therapy Clinic/Center 261QP2000X 20849 MD

Addresses

Primary practice location

10981 Johns Hopkins Rd
Suite 210
Laurel, MD 20723-6002

Mailing address

10981 Johns Hopkins Rd
Suite 210
Laurel, MD 20723-6002
Phone (301) 356-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171025001627 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567738289 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

9841 Broken Land Pkwy
Ste 100
Columbia, MD 21046
Phone (301) 356-5500

10981 Johns Hopkins Rd
Ste 210
Laurel, MD 20723
Phone (301) 317-6800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1093248452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10981 JOHNS HOPKINS RD",
            "address_2": "SUITE 210",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236002",
            "telephone_number": "301-356-5500",
            "fax_number": "800-356-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10981 JOHNS HOPKINS RD",
            "address_2": "SUITE 210",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236002",
            "telephone_number": "301-356-5500",
            "fax_number": "800-356-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZE THERAPY AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-356-5500",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "20849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.