Optimal Movement Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

37366 Issued in CA

Legal business name

OPTIMAL MOVEMENT PHYSICAL THERAPY LLC

Practice address

312 Brookside Ave
Redlands, CA 92373-4608

Phone

(909) 335-7402

NPI assigned

Sep 18, 2014

Last updated

Oct 7, 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

Alan Eldridge, DPT, OCS

Title

Owner

Phone

(424) 214-9088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1952703282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734608",
            "telephone_number": "909-335-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734608",
            "telephone_number": "909-335-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MOVEMENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-214-9088",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "37366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emery Oneale
• Derek Onjukka, DDS
• Ngozi O Onumonu, BSC
• Chidinma Christabel Onyekwe, NP
• Michael Openshaw, CPO
• Orange Blossom Psychological Services Professional Corporation
• Orange Grove Physical Therapy, Inc (Orange Grove Physical Therapy)
• Orange Owl Counseling Services
• Orchid Medical Group
• Joette Nichole Orman, AMFT, APCC

• Physical Therapy Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.