Optimal Performance and Physical Therapies Wesley Chapel, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES WESLEY CHAPEL, LLC

Practice address

26830 Ridgebrook Dr
Suite 102
Wesley Chapel, FL 33544

Phone

(813) 381-6778

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Beth PattersonNPI 1215051776

Title

Chief of Compliance

Phone

(813) 690-4414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Prabudini Kumari Mapa, PT, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1013684851
  Medicare reassignment Care Compare group NPD
• Beth Ann Patterson, PT

  • Physical Therapist
  • Lutz, FL
  • NPI 1215051776
  Medicare reassignment NPD Authorized official
• Clayton Piez, P.T.

  • Orthopedic Physical Therapist
  • Boynton Beach, FL
  • NPI 1043763501
  Medicare reassignment Care Compare group NPD
• Leanne Updike

  • Physical Therapist
  • Wesley Chapel, FL
  • NPI 1710599444
  Medicare reassignment Care Compare group NPD
• Christopher Warren Greaves, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1740901818

  FL

  Medicare reassignment Care Compare group NPD
• Erika Alfonsi, PT, DPT

  • Physical Therapist
  • Oviedo, FL
  • NPI 1770257636
  Medicare reassignment NPD
• Alivia Ann Corriero, DPT

  • Physical Therapist
  • Brandon, FL
  • NPI 1255795340
  Medicare reassignment NPD
• Brandon Rosa

  • Physical Therapist
  • Wesley Chapel, FL
  • NPI 1730900333
  Medicare reassignment NPD

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1770094658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241853",
            "telephone_number": "813-381-6778",
            "fax_number": "440-815-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26830 RIDGEBROOK DR",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-381-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES WESLEY CHAPEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CHIEF OF COMPLIANCE",
        "authorized_official_telephone_number": "813-690-4414"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.