NPIMap

Organization Active NPI

Optimum Mobile Rehabilitation L.L.C.

  • Physical Therapy Clinic/Center
  • Raleigh, NC
National Provider Identifier
1336508688
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P15061 Issued in NC
Legal business name
OPTIMUM MOBILE REHABILITATION L.L.C.
Practice address
150 Saint Mellion St
Raleigh, NC 27603-4175
Phone
(813) 389-0793
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Jerusha T Allen, DPTNPI 1841659190
Title
Member and Organizer
Phone
(813) 389-0793

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P15061 NC Primary

Addresses

Primary practice location

150 Saint Mellion St
Raleigh, NC 27603-4175

Mailing address

150 Saint Mellion St
Raleigh, NC 27603-4175
Phone (813) 389-0793

National Provider Directory

National Provider Directory

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1336508688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT MELLION ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034175",
            "telephone_number": "813-389-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT MELLION ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034175",
            "telephone_number": "813-389-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MOBILE REHABILITATION L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER AND ORGANIZER",
        "authorized_official_telephone_number": "813-389-0793",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P15061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.