OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES ST. PETERSBURG, LLC (NPI# 1073085734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073085734 |
| Entity Type | Organization |
| Organization Name | OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES ST. PETERSBURG, LLC |
| Practice Address |
2600 Dr Martin Luther King Jr St N Ste 200b St Petersburg FL 33704-2744 |
| Mailing Address |
21756 State Road 54 Ste 102 Lutz FL 33549-2905 |
| Practice Telephone | 7274745580 |
| Mailing Telephone | 7274755580 |
| Mailing Fax Number | 8442138986 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | BETH PATTERSON (MANAGER) |
| Authorized Official Telephone | 8136904414 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT LICENSE | PT19911 | 01 |
| Street Address |
2600 DR MARTIN LUTHER KING JR ST N STE 200B |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164060174 | Michelle Lee Hubbard | Physical Therapist | 7101 Mlk Jr St N, St Petersburg, FL 33702-5819 | 2019-12-20 |
| 1528605656 | Nickolas Adrian Preciado | Physical Therapist | 8950 9th St N, St Petersburg, FL 33702-3001 | 2019-12-09 |
| 1952947525 | Hayes Monica Bolofer Mccarroll | Physical Therapist | 7101 Martin Luther King St N, St Petersburg, FL 33702-5819 | 2019-11-19 |
| 1952968117 | Fl Physio LLC | Physical Therapist | 3719 Alabama Ave Ne, St Petersburg, FL 33703-6003 | 2019-05-23 |
| 1356807531 | Optimal Performance & Physical Therapies Tyrone, LLC | Physical Therapist | 1700 66th St N Ste 102, St Petersburg, FL 33710-5510 | 2019-02-13 |
| 1073007134 | Whitney Raye Leonard | Physical Therapist | 7292 4th St N Ste A, St Petersburg, FL 33702-5813 | 2018-06-21 |
| 1710402953 | Benjamin Maurer | Physical Therapist | 8950 Dr Martin Luther King Jr St N Ste 101, St Petersburg, FL 33702-3001 | 2017-08-09 |
| 1376070110 | Ashley Smith | Physical Therapist | 5901 Sun Blvd Ste 110, St Petersburg, FL 33715 | 2017-05-11 |
| 1518412899 | Salus Rehabilitation LLC | Physical Therapist | 260 1st Ave S, Suite 200 Box 161, St Petersburg, FL 33701-4361 | 2016-08-17 |
| 1962875005 | Ryan Scott Liebig | Physical Therapist | 150 73rd Ave N Apt 119, St Petersburg, FL 33702-5954 | 2015-11-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES ST. PETERSBURG, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.