Organization Active NPI

Optimum Physical Therapy

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1841888641
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OPTIMUM PHYSICAL THERAPY
Practice address
3425 Old Highway 41 Ste 620
Kennesaw, GA 30144-1026
Phone
(678) 401-2793
NPI assigned
Jan 6, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Uchenna Joann NwafiliNPI 1093094369
Title
Physical Therapist
Phone
(404) 666-2048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3425 Old Highway 41 Ste 620
Kennesaw, GA 30144-1026

Mailing address

3425 Old Highway 41 Ste 620
Kennesaw, GA 30144-1026
Phone (678) 401-2793

Other practice location 1

4332 Clairesbrook Ln
Acworth, GA 30101-8811
Phone (862) 223-9111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address information@optimumtreatment.com Direct

National Provider Directory

National Provider Directory

Locations

3425 Old Highway 41
Ste 620
Kennesaw, GA 30144
Phone (404) 666-2048

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1841888641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 OLD HIGHWAY 41 STE 620",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441026",
            "telephone_number": "678-401-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 OLD HIGHWAY 41 STE 620",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441026",
            "telephone_number": "678-401-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4332 Clairesbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018811",
            "country_code": "US",
            "telephone_number": "862-223-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-10-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "NWAFILI",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-666-2048"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "information@optimumtreatment.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4332 Clairesbrook Ln",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301018811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.