OPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC


Address: 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411
Phone: 8165476140

OPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC (NPI# 1255728986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255728986
Entity Type Organization
Organization Name OPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC
Other Organization Name OPTIMUM PHYSICAL THERAPY AND PERFORMANCE CENTER, LLC
Practice Address 5501 Nw 62nd Ter
Ste 102
Kansas City
MO 64151-2411
Mailing Address 3610 Nw 86th Ct
Kansas City
MO 64154-1283
Practice Telephone 8165476140
Enumeration Date 2015-04-21
Last Update Date 2015-07-30
Authorized Official Name DANIEL S JACKSON (CEO)
Authorized Official Telephone 8165476140
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Optimum Physical Therapy and Performance Center, LLC Other Name - Individual/Organization

Office Location

Street Address 5501 NW 62ND TER
STE 102
City KANSAS CITY
State MO
Zip Code 64151-2411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073570487 Clay Platte Family Medicine Clinic Durable Medical Equipment & Medical Supplies 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 2006-04-28
1669720173 Kansas City Metropolitan Physician Association Family Medicine 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 2012-08-15
1235422270 Bernard Gene Bruns Dentist 5501 Nw 62nd Ter, Suite 101, Kansas City, MO 64151-2411 2011-05-24
1396066353 Lindsey B Coffman Dietitian, Registered 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 2010-06-14
1457594921 Duana Charis Meseyton Family Medicine 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 2009-04-14
1023251949 Heather Renee Bollinger Family Medicine 5501 Nw 62nd Ter, Kansas City, MO 64151-2411 2009-04-07
1477732469 Tyler M Tunks Physical Therapist 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 2007-10-26
1619168051 Adrian J Delaney IIi Family Medicine 5501 Nw 62nd Ter, Suite 100, Kansas City, MO 64151-2411 2007-08-08
1093870263 David L. Vantasell Dentist 5501 Nw 62nd Ter, Suite 101, Kansas City, MO 64151-2411 2006-12-27
1457460602 Vicki L Nower Clinical Nurse Specialist 5501 Nw 62nd Ter, Suite #201, Kansas City, MO 64151-2411 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861033813 Jonene Jaynes Technician 5002 Nw Martin Dr, Platte County, MO 64151 2019-10-01
1033636956 Autism Support Now, LLC Behavioral Analyst 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 2017-08-23
1699205211 Alma C Batchelor Behavior Technician 5863 Nw 72nd Street, Kansas City, MO 64151 2017-06-15
1588015291 Freedom Care, LLC Home Health Aide 5727 N. Ames Ave, Kansas, MO 64151 2016-06-23
1164701827 Richard Alan Pelaar Counselor 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 2011-08-12
1013238708 Kodi Lee Watson Dietitian, Registered 8301 N St. Clair Ave, Kansas City, MO 64151 2010-06-16
1821296294 Andy Mackey Durable Medical Equipment & Medical Supplies 5100 Nw Waukomis, Northmoor, MO 64151 2007-07-06
1629138185 George Thomas Mcneish II Dentist 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 2006-12-12
1649345091 Comfort Plus Shoes & Footcare Durable Medical Equipment & Medical Supplies 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 2006-11-21
1457456931 Steve Bull Cain Dentist 7120 Nw Prairie View Rd, Kansas City, MO 64151 2006-09-13
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174139778 Nicole Weaver Physical Therapist 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 2020-09-18
1649883869 Jena Marie Brophy Physical Therapist 2 Emanuel Cleaver II Blvd, Kansas City, MO 64112-1654 2020-08-27
1205445780 Jordan Barr Physical Therapist 1000 E 68th Street, Kansas City, MO 64131 2020-07-30
1689296865 Bethany Peterson Physical Therapist 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 2020-05-11
1821620857 Max Powers Physical Therapist 6311 N Cosby Ave, Kansas City, MO 64151-2344 2020-02-07
1316587884 Abdalghani A Yahya Physical Therapist 4148 Booth Pl Apt 1, Kansas City, KS 66103-3151 2020-01-13
1861033888 Athletico Ltd Physical Therapist 4029 Mill St, Kansas City, MO 64111-3008 2019-10-01
1073161675 Erica Pruett Physical Therapist 601 E 63rd St Ste 230, Kansas City, MO 64110-3303 2019-08-28
1043862329 Khoa Lam Physical Therapist 3514 Jefferson St # St307, Kansas City, MO 64111-2803 2019-07-16
1912464199 Christie Peterfish Physical Therapist 4400 Broadway Ste 408, Kansas City, MO 64111-3342 2019-02-25
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City KANSAS CITY
Zip Code 64151

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Dataset Information

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.

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