Optimal Health Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL HEALTH PHYSICAL THERAPY PLLC

Practice address

17541 Hillside Ave
Jamaica, NY 11432-5724

Phone

(347) 549-6517

NPI assigned

Nov 29, 2019

Organization subpart

No

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

Authorized official

Name

Barbra Joanne Flores Mangibin, DPT

Title

DPT/President

Phone

(347) 579-6517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574985600000",
    "number": "1225675010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 56TH ST APT 2H",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778903",
            "telephone_number": "347-579-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17541 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325724",
            "telephone_number": "347-549-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A",
        "authorized_official_last_name": "MANGIBIN",
        "authorized_official_first_name": "BARBRA JOANNE",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "DPT/PRESIDENT",
        "authorized_official_telephone_number": "347-579-6517",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Onyechefuna
• Sonu Wilson Oommen
• Osafradu Opam
• Opensmiledental
• Optical 161 Corp
• Dumo Marcus Opuiyo, NP
• Charles Orbuch, DDS
• Olusegun Prince Oriola
• Rivky Orlow, MA-CCC,SLP
• Danielle Orlowski, CASAC-T

• Physical Therapist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.