Optimum Care Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT011800 Issued in GA

Legal business name

OPTIMUM CARE PHYSICAL THERAPY

Practice address

1950 Riverside Pkwy
Suite 101
Lawrenceville, GA 30043-5918

Phone

(404) 993-5155

NPI assigned

Feb 12, 2016

Last updated

Dec 24, 2016By 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

Fatima Junaid, PTNPI 1942691233

Title

Owner

Phone

(404) 993-5155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Fatima Junaid

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1942691233
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482537600000",
    "number": "1588023998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 RIVERSIDE PKWY",
            "address_2": "SUIT 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435918",
            "telephone_number": "404-993-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RIVERSIDE PKWY",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435918",
            "telephone_number": "404-993-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-12-24",
        "status": "A",
        "authorized_official_last_name": "JUNAID",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-993-5155",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Oppong
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• Optimusmed, LLC
• Oral and Facial Surgery Associates, PC
• Genesis E Orellana Perdomo

• Orthopedic Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2016; 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.