OPTIMAL PERFORMANCE & PHYSICAL THERAPIES TYRONE, LLC (NPI# 1356807531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356807531 |
| Entity Type | Organization |
| Organization Name | OPTIMAL PERFORMANCE & PHYSICAL THERAPIES TYRONE, LLC |
| Practice Address |
1700 66th St N Ste 102 St Petersburg FL 33710-5510 |
| Mailing Address |
3903 Northdale Blvd Ste 111w Tampa FL 33624-1853 |
| Practice Telephone | 7274755540 |
| Mailing Telephone | 7274755540 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| 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 |
1700 66TH ST N STE 102 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
| 1073085734 | Optimal Performance and Physical Therapies St. Petersburg, LLC | Physical Therapist | 2600 Dr Martin Luther King Jr St N Ste 200b, St Petersburg, FL 33704-2744 | 2018-12-19 |
| 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 | 33710 |
Please comment or provide details below to improve the information on OPTIMAL PERFORMANCE & PHYSICAL THERAPIES TYRONE, 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.