Active NPI
Optimal Performance Physical Therapy, PC
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1649647553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39864
- Legal business name
- OPTIMAL PERFORMANCE PHYSICAL THERAPY, PC
- Practice address
- 3435 Ocean Park Blvd
#101
Santa Monica, CA 90405-3301 - Phone
- (310) 399-0337
- NPI assigned
- Aug 26, 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
- Parham Tabloei
- Title
- President
- Phone
- (626) 371-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39864 | CA | Primary |
Addresses
Primary practice location
3435 Ocean Park Blvd
#101
Santa Monica, CA 90405-3301
Mailing address
7367 Hollywood Blvd Apt 302
Los Angeles, CA 90046-2931
Phone (626) 371-3133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1649647553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7367 HOLLYWOOD BLVD APT 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900462931",
"telephone_number": "626-371-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 OCEAN PARK BLVD",
"address_2": "#101",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053301",
"telephone_number": "310-399-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL PERFORMANCE PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "TABLOEI",
"authorized_official_first_name": "PARHAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-371-3133"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "39864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.