NPIMap

Organization Active NPI

Optimal Physical Therapy and Rehabilitation, LLC

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1437468741
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMAL PHYSICAL THERAPY AND REHABILITATION, LLC
Practice address
1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725
Phone
(412) 977-0933
Fax
(301) 312-6948
NPI assigned
Oct 4, 2010
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Mrs. Hadassa Gabriell-Marie Lewis, PT, MPT
Title
Physical Therapist/Owner
Phone
(412) 977-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725

Mailing address

1738 Elton Rd
Suite 230
Silver Spring, MD 20903-1725
Phone (301) 434-1980

Other names 1

  • Optimal Rehabilitation Services, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000527 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759567647 Receives reassigned benefits from 3 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

1738 Elton Rd
Ste 230
Silver Spring, MD 20903
Phone (301) 434-1980

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1437468741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ELTON RD",
            "address_2": "SUITE 230",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031725",
            "telephone_number": "301-434-1980",
            "fax_number": "301-312-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ELTON RD",
            "address_2": "SUITE 230",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031725",
            "telephone_number": "412-977-0933",
            "fax_number": "301-312-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "HADASSA",
        "authorized_official_middle_name": "GABRIELL-MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "412-977-0933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Rehabilitation Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.