Organization Active NPI

Optimove Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1376927251
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1231895 Issued in TX
Legal business name
OPTIMOVE PHYSICAL THERAPY & WELLNESS LLC
Practice address
2307 Gravel Dr
Fort Worth, TX 76118-6951
Phone
(469) 803-1838
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Jeffrey Robert Guild, PT, DPT, CSCS
Title
Owner - Physical Therapist
Phone
(469) 803-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1231895 TX Primary

Addresses

Primary practice location

2307 Gravel Dr
Fort Worth, TX 76118-6951

Mailing address

PO Box 141136
Dallas, TX 75214-1136
Phone (469) 803-1838

National Provider Directory

National Provider Directory

Locations

2307 Gravel Dr
Fort Worth, TX 76118
Phone (469) 803-1838

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1376927251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752141136",
            "telephone_number": "469-803-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GRAVEL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186951",
            "telephone_number": "469-803-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMOVE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "GUILD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER - PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "469-803-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1231895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.