Optimum Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34060 Issued in CA

Legal business name

OPTIMUM PHYSICAL THERAPY, P.C.

Practice address

450 E Yosemite Ave
Suite C
Merced, CA 95340-8429

Phone

(209) 383-9600

Fax

(209) 720-0300

NPI assigned

Jan 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Liezl Y Bardilas, P.T.NPI 1164578217

Title

Ceo

Phone

(209) 383-9600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Liezl Y Bardilas, P.T.

  • Pediatric Physical Therapist
  • Hanford, CA
  • NPI 1164578217

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1669658332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE",
            "address_2": "SUITE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-383-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE",
            "address_2": "SUITE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-383-9600",
            "fax_number": "209-720-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "BARDILAS",
        "authorized_official_first_name": "LIEZL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-383-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Merced, CA
• Providers in Merced, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.