Organization Name: | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES-PINELLAS PARK, LLC |
NPI Number: | 1912317025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT PATTERSON (PRESIDENT) |
Mailing Address: | 8200 Bryan Dairy Rd Suite 150 Largo |
State: | FL US |
Postal Code: | 337771363 |
Phone Number: | 8136904494 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2014 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT4616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |