Optimal Self Care Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL SELF CARE PHYSICAL THERAPY

Practice address

67 E Yale Loop
Irvine, CA 92604-3336

Phone

(815) 325-5815

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Kelli Christine Winter, MPT

Title

Owner,President

Phone

(815) 325-5815

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1114758208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 E YALE LOOP",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043336",
            "telephone_number": "815-325-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E YALE LOOP",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043336",
            "telephone_number": "815-325-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL SELF CARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "815-325-5815",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.