Active NPI
Optima Physical Therapy Rehabilitation PC
- Physical Therapy Clinic/Center
- Bronx, NY
National Provider Identifier
1649324450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 015375
- Legal business name
- OPTIMA PHYSICAL THERAPY REHABILITATION PC
- Practice address
- 4626 White Plains Rd
Bronx, NY 10470-1610 - Phone
- (718) 324-8166
- Fax
- (718) 324-7539
- NPI assigned
- Jan 22, 2007
- Last updated
- Apr 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Akinloye Olokungbemi, DPT
- Title
- Director
- Phone
- (718) 324-8166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 015375 | NY | Primary |
Addresses
Primary practice location
4626 White Plains Rd
Bronx, NY 10470-1610
Mailing address
PO Box 1031
Lodi, NJ 07644-7031
Phone (718) 324-8166
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05714G | Other | NY | GHI MEDICARE |
| 660533 | Other | NY | GHI PPO |
| 000000073981-B | Other | NY | GHI HMO |
| DE3680 | Other | NY | RAILROAD MEDICARE |
| 105663900 | Other | NY | DEPT. OF LABOR |
| 121300P | Other | NY | HIP |
| 2292361 | Other | NY | UNITED HEALTH CARE |
| 201130400016 | Other | NY | AFFINITY |
| 6202200 | Other | NY | CIGNA |
| P-11231046 | Other | NY | MULTIPLAN |
| QP768 | Other | NY | BLUE CROSS BLUE SHIELD |
| 01701817 | Medicaid | NY | |
| 0P015375 | Other | NY | METROPLUS |
| 228870 | Other | NY | WELLCARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- Bronx, NY
- NPI 1508910340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428451200000",
"number": "1649324450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1031",
"city": "LODI",
"state": "NJ",
"postal_code": "076447031",
"telephone_number": "718-324-8166",
"fax_number": "718-324-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4626 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104701610",
"telephone_number": "718-324-8166",
"fax_number": "718-324-7539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA PHYSICAL THERAPY REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2015-04-08",
"status": "A",
"authorized_official_last_name": "OLOKUNGBEMI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "AKINLOYE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-324-8166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "015375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "05714G",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "660533",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000073981-B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE3680",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "105663900",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "121300P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2292361",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "201130400016",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6202200",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P-11231046",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "QP768",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01701817",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPLUS",
"identifier": "0P015375",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "228870",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.