Optimal Performance and Physical Therapies Bayside LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES BAYSIDE LLC

Practice address

73 N Park Place Blvd Ste 102
Clearwater, FL 33759-3917

Phone

(727) 475-5540

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

Beth Patterson, PTNPI 1215051776

Title

Owner

Phone

(727) 475-5540

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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.

• Hannah Mitchell

  • Physical Therapist
  • Clearwater, FL
  • NPI 1497468789
  Medicare reassignment Care Compare group NPD
• Amy Travnicek, PT, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1588971576
  Medicare reassignment Care Compare group NPD
• Raymond Lionel Moore III, P.T.

  • Physical Therapist
  • Baltimore, MD
  • NPI 1477881886

  FL

  Medicare reassignment Care Compare group NPD
• Scott Eckardt, P.T.

  • Physical Therapist
  • Palm Harbor, FL
  • NPI 1518951169
  Medicare reassignment NPD
• Jordan J Kaylor

  • Physical Therapist
  • Trinity, FL
  • NPI 1023659562
  Medicare reassignment NPD
• Jan Schorpion, DPT

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1639451891
  Medicare reassignment NPD
• Jacob Mulkey, DPT

  • Physical Therapist
  • Vinita, OK
  • NPI 1619546041

  FL

  Medicare reassignment NPD
• Beth Ann Patterson, PT

  • Physical Therapist
  • Lutz, FL
  • NPI 1215051776
  NPD (past) Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1538630801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HAMMOCK WOODS DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N PARK PLACE BLVD STE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593917",
            "telephone_number": "727-475-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES BAYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-475-5540",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT4616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.