Optima Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT006105 Issued in GA

Legal business name

OPTIMA PHYSICAL THERAPY INC

Practice address

808 Commerce Blvd
Suite C2
Riverdale, GA 30296-7192

Phone

(770) 994-4335

Fax

(770) 994-1559

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ganiyu Abiola Bello, PHYSICAL THERAPIST

Title

Clinic Director

Phone

(770) 994-4335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1174593222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "address_2": "SUITE C2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-994-4335",
            "fax_number": "770-994-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BLVD",
            "address_2": "SUITE C2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302967192",
            "telephone_number": "770-994-4335",
            "fax_number": "770-994-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "GANIYU",
        "authorized_official_middle_name": "ABIOLA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "770-994-4335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT006105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227393067A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha T. Oliver, OT
• Wendy Seay Oliver, MS, CCC-SLP
• James Oliviere Jr., MD
• One Atlanta Group
• Anthony C Onyegbula, D.O.
• Optima Physical Therapy Services
• Louis J. Orlando, DOCTOR OF CHIROPRACT
• Orthocare Georgia LLC
• Orthocare Georgia LLC
• Orthopaedic Solutions, PC

• Orthopedic Physical Therapist in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.