Optimal Performance and Physical Therapies Trinity LLC
Organization Active NPI Physical Therapist · Trinity, FL
NPI 1144734591 · NPPES record last updated Nov 21, 2017
Key facts
- NPI
- 1144734591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES TRINITY LLC
- Practice address
- 11157 Trinity Blvd
Trinity, FL 34655 - Phone
- (813) 381-6778
- NPI assigned
- Nov 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Beth Patterson
- Title
- Chief of Compliance, Privacy and SE
- Phone
- (813) 690-4414
Practitioners 13
-
Jeri Lynn Houck, PT
-
Lauren Brodsky, DPT
-
Jason Brown, D.P.T
-
Peter Louis Scarano, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180427002359 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8921362963 |
Receives reassigned benefits from 12 practitioners Practice locations: Trinity, FL |
National Provider Directory
Locations
11157 Trinity Blvd
Trinity, FL 34655
Phone (727) 645-4120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
11157 Trinity Blvd
Trinity, FL 34655
Mailing address
3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853
Phone (813) 381-6778
Other providers in Trinity, FL
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- OB Hospitalist Group LLC
- Hannan Odeh
- Odessa Capital LLC
- Holly On
- Orange Blossom Surgical Associates
- Orange Blossom Women'S Group PLLC
- Orthopaedic Associates of West Florida, PA
- Juan Otheguy
- Daryl Noel Otiniano
All providers in Trinity, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.