NPIMap

Organization Active NPI

Optimal Performance and Physical Therapies Kendall LLC

Doing business as Kendall Hand and Physical Therapy

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1922350289
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4616 Issued in FL
Legal business name
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES KENDALL LLC
Doing business as
Kendall Hand and Physical Therapy
Practice address
9415 Sunset Dr
Suite 111
Miami, FL 33173-5427
Phone
(786) 507-8278
Fax
(844) 214-1486
NPI assigned
Oct 11, 2012
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4616 FL Primary

Addresses

Primary practice location

9415 Sunset Dr
Suite 111
Miami, FL 33173-5427

Mailing address

21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone (727) 475-5540

Other names 1

  • Kendall Hand and Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130530000094 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981842192 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL
O20130723000007 FL DME Supplier - Independently-Practicing Occupational Therapist 4981842192 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

9415 Sunset Dr
Ste 111
Miami, FL 33173
Phone (786) 507-8278

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1922350289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54 STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540",
            "fax_number": "844-927-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 SUNSET DR",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735427",
            "telephone_number": "786-507-8278",
            "fax_number": "844-214-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES KENDALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "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": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall Hand and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.