Optum Health and Sport Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

OPTUM HEALTH AND SPORT THERAPY

Practice address

201 Town Center LN
Suite 1111
Keller, TX 76248-2158

Phone

(972) 740-7908

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Gove

Title

Managing Partner

Phone

(972) 740-7908

Specialties & licenses 1

Addresses

Tax ID family

Optum Health and Sport Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optum Health & Sport Therapy

  • Chiropractor
  • Keller, TX
  • NPI 1205371556
  NPD tax ID

Locations

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1407394851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TOWN CENTER LN",
            "address_2": "SUITE 1111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOWN CENTER LN",
            "address_2": "SUITE 1111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482158",
            "telephone_number": "972-740-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM HEALTH AND SPORT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "GOVE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-740-7908"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseun Odumosu, MD
• Michalla Oldham
• Marshall A Olson, DDS
• Omar a. Gomez, M.D.,P.a. (Kid Care Pediatrics)
• Optum Health & Sport Therapy
• Oral Cancer Reconstructive Surgeons of Texas PLLC
• Isabelle Marie Ormiston, M.A. CCC-SLP
• Connor Orr
• Brittney Nicole Orren, OTR
• Ortholonestar, PLLC (Texas Orthopaedic Associates)

• Occupational Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.