Optimal Physical Therapy and Industrial Rehab Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

19922 Issued in MD

Legal business name

OPTIMAL PHYSICAL THERAPY AND INDUSTRIAL REHAB INC

Practice address

10020 Southern Maryland Blvd
Ste 103
Dunkirk, MD 20754-3031

Phone

(301) 855-6326

Fax

(301) 855-6328

NPI assigned

Apr 17, 2007

Last updated

Mar 12, 2013By 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

Mrs. Carol Lynn Tameris, MPTNPI 1831388875

Title

Physical Therapist

Phone

(301) 855-6326

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Optimal Physical Therapy and Industrial Rehab Inc2 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.

• Optimal Physical Therapy

  • Physical Therapist
  • Dunkirk, MD
  • NPI 1902825078
  NPD tax ID

Practitioners 2

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.

• Carol L Tameris, M.S.P.T.

  • Physical Therapist
  • Dunkirk, MD
  • NPI 1831388875
  Medicare reassignment Care Compare group NPD Authorized official
• Jill Edgington, MPT

  • Physical Therapist
  • Dunkirk, MD
  • NPI 1487626917
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1467677070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "STE 103",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "301-855-6326",
            "fax_number": "301-855-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "STE 103",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "301-855-6326",
            "fax_number": "301-855-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL THERAPY AND INDUSTRIAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "TAMERIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "301-855-6326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "19922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUMBE",
            "identifier": "312442",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IWIF PROVIDER NUMBER",
            "identifier": "45519",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL PROVIDER NUMBER",
            "identifier": "608478300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "K4980001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO PROVIDER NUMBER",
            "identifier": "3128965",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDING NUMBER",
            "identifier": "64468302",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "743BOP",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nai Saturn Eastern LLC (Safeway Pharmacy #1129)
• Paula K Newsome, LGPC
• Van Anh Thi Nguyen, O.D.
• Natalie Norton
• Optimal Physical Therapy
• Jennifer Jeanne Osterloh, RN
• Immirne Monet Ouwinga, M.D.
• Jared Francis Parsons
• Pediatric Dentistry
• Penuel Behavioral Health Services LLC

• Physical Therapy Clinic/Center in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.