Organization Active NPI

Optimum Performance Training Center

  • Physical Therapy Clinic/Center
  • Durham, NC
National Provider Identifier
1114286531
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMUM PERFORMANCE TRAINING CENTER
Practice address
2309 Sparger Rd
Durham, NC 27705-2227
Phone
(919) 382-0082
Fax
(919) 383-9112
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Michael William Brinkman
Title
Administrator
Phone
(919) 382-0082

Specialties & licenses 1

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

Addresses

Primary practice location

2309 Sparger Rd
Durham, NC 27705-2227

Mailing address

2309 Sparger Rd
Durham, NC 27705-2227
Phone (919) 382-0082

National Provider Directory

National Provider Directory

Locations

2309 Sparger Rd
Durham, NC 27705
Phone (252) 492-2504

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1114286531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SPARGER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052227",
            "telephone_number": "919-382-0082",
            "fax_number": "919-383-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SPARGER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052227",
            "telephone_number": "919-382-0082",
            "fax_number": "919-383-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PERFORMANCE TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-382-0082"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.