Organization Active NPI

Performance Optimal Health LLC

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1497488043
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFORMANCE OPTIMAL HEALTH LLC
Practice address
9128 Strada PL Ste 10115
Naples, FL 34108-2937
Phone
(203) 557-4000
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Todd Wilkowski, DPT
Title
Ceo
Phone
(203) 557-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9128 Strada PL Ste 10115
Naples, FL 34108-2937

Mailing address

PO Box 402
Cos Cob, CT 06807-0402

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://performanceoptimalhealth.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928002961 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941686968 Receives reassigned benefits from 6 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

2260 Logan Blvd N
Unit 302
Naples, FL 34119
Phone (239) 342-1340

9128 Strada Pl
Ste 10115
Naples, FL 34108
Phone (239) 216-7083

225 Banyan Blvd
Ste 130
Naples, FL 34102

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1497488043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068070402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 STRADA PL STE 10115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082937",
            "telephone_number": "203-557-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE OPTIMAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "WILKOWSKI",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-557-4000",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://performanceoptimalhealth.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "9128 Strada Pl Ste 10115",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341082937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.