Opt Physical Therapy Rehabilitation PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPT PHYSICAL THERAPY REHABILITATION PLLC

Practice address

30 Everit Ave
Hewlett, NY 11557-1303

Phone

(347) 731-9836

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Comfort Uwadiae, DPTNPI 1346093762

Title

Doctor of Physical Therapy

Phone

(347) 731-9836

Specialties & licenses 1

Addresses

Other names 1

• OPT 2 RESTORE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Comfort Modupe Uwadiae, PT, DPT

  • Physical Therapist
  • Hewlett, NY
  • NPI 1346093762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1639901671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EVERIT AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571303",
            "telephone_number": "347-731-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EVERIT AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571303",
            "telephone_number": "347-731-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPT PHYSICAL THERAPY REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "UWADIAE",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-731-9836",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPT 2 RESTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myrna K. Nussbaum, M.D.
• Natalya Ogievetsky, M.D.
• Jeffrey Neal Olin, MD
• Charles Oliver
• Diana Oneill, FNP
• Opt2Restore LLC
• Our Kids Place Country Day, Inc.
• Jennifer Packer
• Terri Lynn Pakula, M.S.
• Jonathan Samuel Paley, D.D.S.

• Physical Therapist in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.