Organization Active NPI

Optimal Performance Physical Therapy, PC

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1649647553
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39864 Issued in CA
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

Updated by the provider on Aug 26, 2015

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.