Optimum Health- Hiram

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OPTIMUM HEALTH- HIRAM

Practice address

76 Highland Pavilion CT
Hiram, GA 30141-3169

Phone

(770) 439-6997

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By 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

Alex Jutis

Title

MGR.

Phone

(770) 439-6997

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1932358710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 HIGHWAY 317 STE 760-318",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGHLAND PAVILION CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413169",
            "telephone_number": "770-439-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH- HIRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "JUTIS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MGR.",
        "authorized_official_telephone_number": "770-439-6997"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06867",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Way Homecare Services, Inc.
• Laura Onokalah
• Open Arms Adult Daycare, LLC
• Philip Oppong-Twene, MD
• Optimum Health Rehab of Hiram LLC (Optimum Health Hiram LLC)
• Oracle Anesthesia of Georgia LLC
• Orthoatlanta, LLC
• Orthodontic Care of Georgia
• Elizabeth M Oswald, PT
• Jeffrey Allan Overdorff, LPC

• Physical Medicine & Rehabilitation Physician in Hiram, GA
• Providers in Hiram, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.