Optimal Life Home Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL LIFE HOME THERAPY, LLC

Practice address

516 Garden Way
Edgewood, KY 41017-3387

Phone

(941) 894-2956

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda McHargue, PT

Title

Physical Therapist/ Owner

Phone

(941) 894-2956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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.

• Jordan Nicole Lindon, DPT, PT

  • Physical Therapist
  • Edgewood, KY
  • NPI 1083248462

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Amanda L Smith, PT

  • Physical Therapist
  • Edgewood, KY
  • NPI 1891852604
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1285273383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GARDEN WAY",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173387",
            "telephone_number": "941-894-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GARDEN WAY",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173387",
            "telephone_number": "941-894-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIFE HOME THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MCHARGUE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "941-894-2956",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ogden, APRN
• Abayomi Ogunderu, MD
• Flynn Justine Oliver, AA, RBT
• Richard Gerard Oliver, MD
• Emily Oppman, MS
• Orthocincy Orthopaedics & Sports Medicine
• Orthocincy Orthopaedics & Sports Medicine
• Orthocincy Orthopaedics & Sports Medicine PSC
• Ortholive, Inc.
• Dorothy A Osterhage, MD

• Physical Therapist in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.