Optimal Performance Group Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4386 Issued in FL

Legal business name

OPTIMAL PERFORMANCE GROUP INC

Practice address

15100 Hutchison Rd Ste 106
Tampa, FL 33625-5512

Phone

(813) 728-5449

NPI assigned

May 8, 2007

Last updated

Mar 5, 2020By 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

Dr. David Grabau, PSY.D.NPI 1184705378

Title

President

Phone

(813) 728-5449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Faustino Grabau, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1184705378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1437362860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 HUTCHISON RD STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255512",
            "telephone_number": "813-728-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 HUTCHISON RD STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255512",
            "telephone_number": "813-728-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "GRABAU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-728-5449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Performance and Physical Therapies Hyde Park LLC
• Optimal Performance and Physical Therapies Northdale LLC (Optimal Performance and Physical Therapies Citrus Park)
• Optimal Performance and Physical Therapies Northdale LLC
• Optimal Performance and Physical Therapies St. Joes LLC
• Optimal Performance and Physical Therapies University LLC
• Optimal Rehab, LLC
• Optimal Womens Health Care PA (Optimal Womens Health)
• Optimum Health Chiropractic PLLC
• Optimum Healthcare Inc.
• Optimus Health & Wellness Center LLC

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.

Verify at the official NPI Registry.