Optimal Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL THERAPY INC

Practice address

115 S Main St Apt 10
North Wales, PA 19454-2846

Phone

(732) 703-1453

NPI assigned

Aug 18, 2019

Last updated

Aug 18, 2019By 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

Michael Edward Hough, PHYSICAL THERAPIST

Title

President

Phone

(732) 703-1453

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1447806161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 WASHINGTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452645",
            "telephone_number": "732-703-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST APT 10",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542846",
            "telephone_number": "732-703-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-703-1453",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT",
            "identifier": "PT023347",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angela Owusu-Edusei, CRNP
• Oxygen Etc., LLC
• PA Medical Equipment and Supplies
• PA Pediatric Dentistry LLC

• Physical Therapist in North Wales, PA
• Providers in North Wales, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.