Optimal Physical Therapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OPTIMAL PHYSICAL THERAPY AND PERFORMANCE

Practice address

168 Center Street
Suite 103
Southington, CT 06489-2572

Phone

(860) 604-6068

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Rebecca Lavaway, MSPT, OCS, COMTNPI 1851531016

Title

Partner

Phone

(203) 232-5924

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebecca Lavaway, PT

  • Physical Therapist
  • Southington, CT
  • NPI 1851531016
  NPD Authorized official

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1801324975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GREYSTONE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843832",
            "telephone_number": "203-858-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CENTER STREET",
            "address_2": "SUITE 103",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892572",
            "telephone_number": "860-604-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "LAVAWAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-232-5924",
        "authorized_official_credential": "MSPT, OCS, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalys R Padron
• Olive & Oak Wellness LLC
• Kara Oliveira, LCSW
• Joshua Olsen, PHARMD
• Maureen N Onyirimba, MD
• Angela Orsini-Garry, APRN
• Orthopedic Physical Therapy LLC
• Megan E Packard
• Odalys Padron
• Beth Danielle Palladino, RPT

• Physical Therapy Clinic/Center in Southington, CT
• Providers in Southington, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.