Optima Physical Therapy Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW004266 Issued in GA

Legal business name

OPTIMA PHYSICAL THERAPY SERVICES

Practice address

808 Commerce Boulevard
Riverdale, GA 30296

Phone

(404) 599-6567

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Sadaqa Ward, LCSW

Title

Clinical Social Worker

Phone

(678) 613-0430

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1225402639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BOULEVARD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30296",
            "telephone_number": "404-599-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 COMMERCE BOULEVARD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30296",
            "telephone_number": "404-599-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SADAQA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "678-613-0430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW004266",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "CSW004266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Seay Oliver, MS, CCC-SLP
• James Oliviere Jr., MD
• One Atlanta Group
• Anthony C Onyegbula, D.O.
• Optima Physical Therapy Inc
• Louis J. Orlando, DOCTOR OF CHIROPRACT
• Orthocare Georgia LLC (OrthoCare Georgia)
• Orthocare Georgia LLC (OrthoCare Georgia)
• Orthopaedic Solutions, PC
• Fred Osaretin Osayi, OD

• Community/Behavioral Health Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.