Optimal Movement Rehabilitation and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL MOVEMENT REHABILITATION AND PERFORMANCE

Practice address

1410 Strassner Dr
Brentwood, MO 63144-1871

Phone

(314) 472-3877

Fax

(314) 237-1035

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Stilts

Title

Business Manager

Phone

(314) 472-3877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Taylor L Wakeland, DPT

  • Physical Therapist
  • Olivette, MO
  • NPI 1992200273
  NPD

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1366294639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 STRASSNER DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441871",
            "telephone_number": "314-472-3877",
            "fax_number": "314-237-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 STRASSNER DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441871",
            "telephone_number": "314-472-3877",
            "fax_number": "314-237-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MOVEMENT REHABILITATION AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "STILTS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "314-472-3877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enos Kenneth Moss Jr., RN, MSN, ANP-BC
• Dorothy Nelson
• Laura Nolan
• Stephanie O'Brien
• Open Arms Mental Health Therapy LLC
• Kelsey Marie Osterhage
• P2 Enterprises, LLC (ApexNetwork Physical Therapy)
• Jacob Conner Palmer
• Athanasios Papakostas, MD
• Alexis Shauntay Parker

• Physical Therapist in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.