Optimum Physical Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMUM PHYSICAL THERAPY & WELLNESS

Practice address

34213 Yucaipa Blvd
Suite a
Yucaipa, CA 92399-2494

Phone

(909) 797-9010

Fax

(909) 797-9046

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rosa Matos

Title

Office Manager

Phone

(909) 790-9010

Specialties & licenses 1

Addresses

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard A Adorador, D.P.T.

  • Specialist
  • Beaumont, CA
  • NPI 1689648511
  NPD (past)
• Karen R Brandon, P.T.

  • Physical Therapist
  • Loma Linda, CA
  • NPI 1053340653
  NPD (past)
• Marilyn L Bunnell, P.T.

  • Physical Therapist
  • Redlands, CA
  • NPI 1427002328
  NPD (past)
• Bassam Hannaway, MPT

  • Physical Therapist
  • Redlands, CA
  • NPI 1124194618
  NPD (past)
• Starla Lorraine Nelson, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Yucaipa, CA
  • NPI 1922254630
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215071485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11955",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231955",
            "telephone_number": "909-797-9010",
            "fax_number": "909-797-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34213 YUCAIPA BLVD",
            "address_2": "SUITE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992494",
            "telephone_number": "909-797-9010",
            "fax_number": "909-797-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-790-9010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Jean Oconnell
• Ekene Odimegwu, PHARM.D
• Amy Marie Olvera
• Hector Daniel Olvera
• Ashlynn Kali Onzures
• Chien Originales, PHARMD
• Emily Ortiz
• Richard Ortiz
• Alyson Ostdiek
• Ota Dental Corp

• Physical Therapist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.