Optimal Performance and Physical Therapies-Pinellas Park, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4616 Issued in FL

Legal business name

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-PINELLAS PARK, LLC

Practice address

8200 Bryan Dairy Rd
Suite 150
Largo, FL 33777-1363

Phone

(813) 690-4494

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Patterson

Title

President

Phone

(813) 690-4494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Jonathan Rios

  • Physical Therapist
  • Largo, FL
  • NPI 1215603410
  Medicare reassignment Care Compare group NPD
• Jacob Aaron Sager, PT

  • Physical Therapist
  • Largo, FL
  • NPI 1912137969
  Medicare reassignment Care Compare group NPD
• Ashley Smith, DPT

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1376070110
  Medicare reassignment Care Compare group NPD
• Beth Ann Patterson, PT

  • Physical Therapist
  • Lutz, FL
  • NPI 1215051776
  Medicare reassignment NPD
• Nathan Ward Bennett, P.T.

  • Physical Therapist
  • Brandon, FL
  • NPI 1972635365
  NPD
• Whitney L Wester, PT

  • Physical Therapist
  • Clearwater, FL
  • NPI 1619525532
  NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1912317025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HAMMOCK WOODS DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BRYAN DAIRY RD",
            "address_2": "SUITE 150",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771363",
            "telephone_number": "813-690-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-PINELLAS PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-690-4494"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optic Shoppe
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• Optical Factory and Showroom
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• Optical Factory and Showroom, Inc.
• Option San LLC.
• Optometric Associates of Florida, P.a. (InnoVision)
• Optumcare Florida, LLC (DaVita Medical Group)
• Orthopaedic Associates of West Florida, PA
• Orthopaedic Associates of West Florida, PA

• Physical Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.