Optimaliving Therapy LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

4223 Issued in AZ

Legal business name

OPTIMALIVING THERAPY LLC

Practice address

8953 W Custer LN
Peoria, AZ 85381-3516

Phone

(623) 777-3113

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Lee, OTR/L

Title

Owner/OT

Phone

(623) 777-3113

Specialties & licenses 3

Addresses

Other names 1

• OptimaLiving Therapy & Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1396199477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13057 W WHISPER ROCK TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837952",
            "telephone_number": "623-777-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 W CUSTER LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813516",
            "telephone_number": "623-777-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMALIVING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/OT",
        "authorized_official_telephone_number": "623-777-3113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "3809PT",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "4223",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "1502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptimaLiving Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Rehabilitation Occupational Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Rehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.