Optimized Sports & Family Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMIZED SPORTS & FAMILY WELLNESS

Practice address

631 W Main St
Purcellville, VA 20132-3012

Phone

(703) 927-3119

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Laura James

Title

Cfo

Phone

(703) 927-3119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1235710336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W POPLAR RD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645028",
            "telephone_number": "703-927-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323012",
            "telephone_number": "703-927-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED SPORTS & FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "703-927-3119"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norbo Dental, PLLC
• Justin R Norbo, D.D.S.
• Erika O'Hearn
• Eugenia Y Obeng, NP
• Brenda Oldknow, MSW
• Nicole Osborne, LPC
• Byunghoon Park
• Laura L Pasch, LCSW
• Tina Marie Pascua, LCSW
• Kim Pekin, CPM, CNM

• Chiropractor in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.