OPTIMUM MOBILE REHABILITATION L.L.C. (NPI# 1336508688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336508688 |
| Entity Type | Organization |
| Organization Name | OPTIMUM MOBILE REHABILITATION L.L.C. |
| Practice Address |
150 Saint Mellion St Raleigh NC 27603-4175 |
| Practice Telephone | 8133890793 |
| Mailing Telephone | 8133890793 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | JERUSHA T ALLEN (MEMBER AND ORGANIZER) |
| Authorized Official Telephone | 8133890793 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
P15061 | NC | Ambulatory Health Care Facilities |
| Street Address |
150 SAINT MELLION ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841659190 | Jerusha Allen | Physical Therapist | 150 Saint Mellion St, Raleigh, NC 27603-4175 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
| 1447733878 | Swarajchand Corp | Clinic/Center | 8320 Litchford Rd Ste 140, Raleigh, NC 27615-3860 | 2018-09-12 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1073069035 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 8700 Walkelin Ct, Raleigh, NC 27615-4147 | 2016-08-30 |
| 1659731214 | Agilitas Usa, Inc | Clinic/Center | 815 Oberlin Rd # 302, Raleigh, NC 27605-1300 | 2016-02-25 |
| 1437524600 | Agilitas Usa Inc | Clinic/Center | 11201 Galleria Ave # 105, Raleigh, NC 27614-8137 | 2015-12-14 |
| 1235528985 | Xcel Rehabilitation Services | Clinic/Center | 12528 Honeychurch St, Raleigh, NC 27614-8482 | 2015-01-19 |
| 1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| 1912190174 | S.t.a.c.k. Physical Therapy & Corrective Exercise, Incorporated | Clinic/Center | 1640 Eva Mae Dr, Raleigh, NC 27610-4443 | 2007-08-21 |
| Find all providers in RALEIGH | ||||
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| 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.