Organization Name: | OPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC |
NPI Number: | 1255728986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL S JACKSON (CEO) |
Mailing Address: | 5501 Nw 62nd Ter Ste 102 Kansas City |
State: | MO US |
Postal Code: | 641512411 |
Phone Number: | 8165476140 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |