Organization Active NPI

Optimal Professional Health Services PC

  • Physical Therapist
  • Norwood, MA
National Provider Identifier
1285082701
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMAL PROFESSIONAL HEALTH SERVICES PC
Practice address
1418 Providence Hwy
Suite N
Norwood, MA 02062-4655
Phone
(781) 269-2824
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Joseph A Russo, MDNPI 1598732240
Title
Owner
Phone
(617) 964-1440

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1418 Providence Hwy
Suite N
Norwood, MA 02062-4655

Mailing address

944 Washington St
Suite One
South Easton, MA 02375-1177
Phone (508) 238-8646

National Provider Directory

National Provider Directory

Locations

1418 Providence Hwy
Ste N
Norwood, MA 02062
Phone (617) 964-1440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1285082701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 WASHINGTON ST",
            "address_2": "SUITE ONE",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751177",
            "telephone_number": "508-238-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 PROVIDENCE HWY",
            "address_2": "SUITE N",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624655",
            "telephone_number": "781-269-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PROFESSIONAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-964-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.