Optimal Performance Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OPTIMAL PERFORMANCE PHYSICAL THERAPY, PLLC

Practice address

2901 Ranch Road 620 N
Austin, TX 78734-2208

Phone

(512) 815-3748

Fax

(512) 352-9648

NPI assigned

May 5, 2023

Organization subpart

No

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

Authorized official

Name

Brandon O'Neal White, PTNPI 1164098901

Title

Owner/Physical Therapist

Phone

(361) 648-0643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Brandon O'Neal White, DPT

  • Physical Therapist
  • Lakeway, TX
  • NPI 1164098901
  Medicare reassignment Care Compare group NPD Authorized official
• Leilani M Connors, P.T.

  • Physical Therapist
  • Lakeway, TX
  • NPI 1457472680
  Medicare reassignment Care Compare group
• Rachel M Gonzalez, D.P.T.

  • Physical Therapist
  • Lakeway, TX
  • NPI 1780138586
  Medicare reassignment Care Compare group
• Mariah Hardeman, PT, DPT

  • Physical Therapist
  • Georgetown, TX
  • NPI 1669142295
  Medicare reassignment NPD
• Dylen Cantu, PTA

  • Physical Therapy Assistant
  • Austin, TX
  • NPI 1356930572
  NPD

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1992494868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 FM 620 N APT 3203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342819",
            "telephone_number": "361-648-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RANCH ROAD 620 N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342208",
            "telephone_number": "512-815-3748",
            "fax_number": "512-352-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "O'NEAL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "361-648-0643",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Raye Oppold, MSN, WHNP-BC
• Opsolutions, LLC
• Optica Torre
• Opticianry Services, LTD.
• Optimal Health and Wellness, LLC
• Optimal Recovery Systems
• Optimal WC Inc
• Optimum Residential Services LTD
• Optimum Residential Services LTD
• Optimum Residential Services LTD

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; 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.