Optimal Performance Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

033122 Issued in NY

Legal business name

OPTIMAL PERFORMANCE PHYSICAL THERAPY, PLLC

Practice address

648 Middle Country Rd
Unit 4
Saint James, NY 11780-3224

Phone

(631) 764-2250

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Alexandra Marie Totino, DPT

Title

President

Phone

(631) 764-2250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1740699776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 MIDDLE COUNTRY RD STE 4",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803224",
            "telephone_number": "631-764-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 MIDDLE COUNTRY RD",
            "address_2": "UNIT 4",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803224",
            "telephone_number": "631-764-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "TOTINO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-764-2250",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "033122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Loren O'Connor, PA-C
• Natasha O'Connor, PH,D.
• Holly Odonnell
• Conor R Ohland, LMHC
• Kasie Tess Okeya
• Casandra Oquendo
• Stephanie Ordonez, MHC, CASAC
• Andrew Oswald
• Randi Jill Padover-Kirson, LMSW
• Paige Palazzolo, LMSW

• Physical Therapy Clinic/Center in Saint James, NY
• Providers in Saint James, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.