NPIMap

Organization Active NPI

Optimum Performance and Therapy Clinic, PLLC

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1174087787
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMUM PERFORMANCE AND THERAPY CLINIC, PLLC
Practice address
1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656
Phone
(915) 234-2991
Fax
(844) 270-2164
NPI assigned
Jan 28, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Patrick K BrandonNPI 1720148901
Title
Physical Therapist
Phone
(915) 256-3587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656

Mailing address

9706 Darway Dr
El Paso, TX 79925-6810
Phone (915) 256-3587

Other practice location 1

1300 Murchison Dr Ste 314
El Paso, TX 79902-4852
Phone (915) 234-2991

National Provider Directory

National Provider Directory

Locations

1400 George Dieter Dr
Ste 180
El Paso, TX 79936
Phone (915) 234-2991

1400 George Dieter Dr
Ste 200
El Paso, TX 79936
Phone (915) 849-5112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1174087787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 DARWAY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256810",
            "telephone_number": "915-256-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GEORGE DIETER DR STE 180",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367656",
            "telephone_number": "915-234-2991",
            "fax_number": "844-270-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Murchison Dr Ste 314",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024852",
            "country_code": "US",
            "telephone_number": "915-234-2991",
            "fax_number": "844-270-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM PERFORMANCE AND THERAPY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "915-256-3587"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.