Optimum Performance and Therapy Clinic, PLLC

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

Organization subpart

No

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

Authorized official

Name

Patrick K Brandon

Title

Physical Therapist

Phone

(915) 256-3587

Specialties & licenses 1

Addresses

Locations

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": []
}

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• 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.