Organization Active NPI

Optimum Physical Therapy

  • Physical Therapy Clinic/Center
  • Elizabethton, TN
National Provider Identifier
1124847678
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMUM PHYSICAL THERAPY
Practice address
206 Cherokee Park Dr Ste 2
Elizabethton, TN 37643-2769
Phone
(423) 895-1722
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Dr. Rachel Lynne Peters, PT, DPTNPI 1528364106
Title
Owner, Operator
Phone
(423) 297-1017

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

206 Cherokee Park Dr Ste 2
Elizabethton, TN 37643-2769

Mailing address

1742 Sylvan Hill Rd
Elizabethton, TN 37643-3928
Phone (423) 895-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310000528 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072034818 Receives reassigned benefits from 3 practitioners
Practice locations: Elizabethton, TN

National Provider Directory

National Provider Directory

Locations

206 Cherokee Park Dr
Ste 2
Elizabethton, TN 37643
Phone (423) 297-1017

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1124847678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 SYLVAN HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433928",
            "telephone_number": "423-895-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CHEROKEE PARK DR STE 2",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432769",
            "telephone_number": "423-895-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "423-297-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.