Optimal Performance Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4130 Issued in MS

Legal business name

OPTIMAL PERFORMANCE PHYSICAL THERAPY

Practice address

204 N 15TH Ave
Laurel, MS 39440

Phone

(601) 342-2344

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sara Alma Norval, DPTNPI 1861520728

Title

Co-Owner/Physical Therapist

Phone

(601) 342-2344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 4

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

• Sara A Norval, DPT

  • Physical Therapist
  • Laurel, MS
  • NPI 1861520728
  Medicare reassignment Care Compare group NPD Authorized official
• Kyle Brannon Crager, MPT

  • Physical Therapist
  • Laurel, MS
  • NPI 1093843591
  Medicare reassignment Care Compare group NPD
• Lori Anne Landrum, PT, DPT

  • Physical Therapist
  • Laurel, MS
  • NPI 1457470023
  Medicare reassignment Care Compare group NPD
• Clark Brandon Rasberry, DPT

  • Physical Therapist
  • Laurel, MS
  • NPI 1922136639
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1831644293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2414",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394422414",
            "telephone_number": "601-342-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-342-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "NORVAL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ALMA",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-342-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Douglas Nowicki, M.D.
• Richard O'Keeffe Jr., M.D.
• Alexandra Carter O'Neal, M.S. C.C.C.-S.L.P.
• John O'Quin, NP
• Gulshan Singh Oberoi, M.D
• Orthopedic Rehabilitation, LLC
• Mary Caskey Ousley, DMD
• Myneka L Owens, LPN
• Trina Owens, IDD WAIVER SERVICES
• Erin W Pacific, DPT

• Physical Therapist in Laurel, MS
• Providers in Laurel, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.