Optimax Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501006423 Issued in MI

Legal business name

OPTIMAX PHYSICAL THERAPY, PLLC

Practice address

1539 N Leroy St
Fenton, MI 48430-2765

Phone

(248) 978-3406

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By 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

Maria-Theresa P. Abaya, PT

Title

President

Phone

(248) 978-3406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1518127372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 KNOB HILL CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397460",
            "telephone_number": "248-978-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302765",
            "telephone_number": "248-978-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAX PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ABAYA",
        "authorized_official_first_name": "MARIA-THERESA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-978-3406",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501006423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Dennis Owocki, DDS

• Physical Therapy Clinic/Center in Fenton, MI
• Providers in Fenton, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.