Organization Active NPI

Optimal Performance Inc

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
National Provider Identifier
1952792384
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OPTIMAL PERFORMANCE INC
Practice address
200 Center Park Dr
Knoxville, TN 37922-2104
Phone
(865) 804-4923
Fax
(865) 558-1474
NPI assigned
Feb 6, 2015
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Holly Read Larrabee, MSPT
Title
Office Manager
Phone
(865) 804-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

200 Center Park Dr
Knoxville, TN 37922-2104

Mailing address

1109 April Dr
Knoxville, TN 37919-8121
Phone (865) 804-4923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608002096 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204307572 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

200 Center Park Dr
Knoxville, TN 37922
Phone (865) 804-4923

333 Troy Cir
Ste B
Knoxville, TN 37919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1952792384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 APRIL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198121",
            "telephone_number": "865-804-4923",
            "fax_number": "865-558-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222104",
            "telephone_number": "865-804-4923",
            "fax_number": "865-558-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "LARRABEE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "READ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-804-4923",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.