Active NPI
Optimum Physical Therapy and Sports Rehab PLLC
- Physical Therapist
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OPTIMUM PHYSICAL THERAPY AND SPORTS REHAB PLLC
- Practice address
- 5819 Highway 6 Ste 100a
Missouri City, TX 77459-4052 - Phone
- (713) 244-8688
- Fax
- (713) 263-3235
- NPI assigned
- Jun 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Premila Martin, PT
- Title
- Director / Owner
- Phone
- (281) 969-8922
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Sports Physical Therapist | 2251S0007X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X |
Addresses
Primary practice location
5819 Highway 6 Ste 100a
Missouri City, TX 77459-4052
Mailing address
5819 Highway 6 Ste 100a
Missouri City, TX 77459-4052
Phone (281) 969-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5819 Highway 6
Ste 100A
Missouri City, TX 77459
Phone (281) 969-8922
5819 Highway 6
Ste 100
Missouri City, TX 77459
Phone (713) 244-8688
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Missouri City, TX
- NPI 1154531739
-
- Occupational Therapist
- Rosenberg, TX
- NPI 1205321825
-
- Physical Therapist
- Garland, TX
- NPI 1548862642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1346818606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 HIGHWAY 6 STE 100A",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594052",
"telephone_number": "281-969-8922",
"fax_number": "281-969-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5819 HIGHWAY 6 STE 100A",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594052",
"telephone_number": "713-244-8688",
"fax_number": "713-263-3235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM PHYSICAL THERAPY AND SPORTS REHAB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2023-03-27",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PREMILA",
"authorized_official_title_or_position": "DIRECTOR / OWNER",
"authorized_official_telephone_number": "281-969-8922",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.