Optima Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OPTIMA PHYSICAL THERAPY PLLC

Practice address

4250 N Saginaw St Ste C
Flint, MI 48505-5332

Phone

(810) 406-9466

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Rachel O'Brien, PT, DPTNPI 1346657863

Title

President

Phone

(810) 406-9466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Rachel O'Brien, PT, DPT

  • Physical Therapist
  • Flint, MI
  • NPI 1346657863
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1972137156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 EMERALD DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397809",
            "telephone_number": "810-406-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N SAGINAW ST STE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-406-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-406-9466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellington A Opara
• Open Arms Provider
• Optical Management Services, LLC
• Optical Management Systems, Inc.
• Optima Home Health Care LLC
• Optimal Rehabilitation & Wellness - Flint, LLC
• Optum Frontier Therapies LLC
• Optum Pharmacy 701, LLC
• Optum Pharmacy 701, LLC
• Raul Orduna, LMSW

• Physical Therapy Clinic/Center in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.