NPIMap

Organization Active NPI

Optimal Physical Therapy and Sports Performance LLC

  • Physical Therapist
  • Cranberry TWP, PA
National Provider Identifier
1215936919
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMAL PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
Practice address
213 Executive Dr
Suite 100
Cranberry TWP, PA 16066-6442
Phone
(724) 779-1300
Fax
(724) 779-1310
NPI assigned
Jul 15, 2005
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mr. Patrick Arthur Sheehy, P.T.NPI 1366441768
Title
President
Phone
(724) 779-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

213 Executive Dr
Suite 100
Cranberry TWP, PA 16066-6442

Mailing address

213 Executive Dr
Suite 100
Cranberry TWP, PA 16066-6442
Phone (724) 779-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001160 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193712495 Receives reassigned benefits from 3 practitioners
Practice locations: Cranberry TWP, PA

National Provider Directory

National Provider Directory

Locations

213 Executive Dr
Ste 100
Cranberry Twp, PA 16066
Phone (724) 779-1300

Practitioners & affiliated clinicians

Practitioners 8

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1215936919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666442",
            "telephone_number": "724-779-1300",
            "fax_number": "724-779-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666442",
            "telephone_number": "724-779-1300",
            "fax_number": "724-779-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-779-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "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 Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.