Optimize Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OPTIMIZE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

10 Olde Forge Dr
Saint Charles, MO 63301-1528

Phone

(314) 626-3425

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By 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

Samantha Domalewski, DPT

Title

Physical Therapist - Co-Owner

Phone

(314) 626-3425

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brianne Hollandsworth, PT, DPT

  • Physical Therapist
  • Kirkwood, MO
  • NPI 1831766716
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1952184699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 DIEKAMP LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035137",
            "telephone_number": "636-358-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLDE FORGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011528",
            "telephone_number": "314-626-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "DOMALEWSKI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - CO-OWNER",
        "authorized_official_telephone_number": "314-626-3425",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Discussion Counseling LLC
• Ophthalmology Consultants, LLC
• Mary Opp, HIS
• Brandee Lyn Oppelt, MS, RD, LD
• Optimize Physical Therapy and Wellness
• Orji Nursing Services Inc
• Brian Orlando, RPH
• Orpine Home Care
• Andrea Cohron Orr, MD
• James Harold Orr, D.D.S.

• Physical Therapy Clinic/Center in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Physical Therapy Clinic/Center in Missouri

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