OPTIMA PHYSICAL THERAPY REHABILITATION PC (NPI# 1649324450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649324450 |
| Entity Type | Organization |
| Organization Name | OPTIMA PHYSICAL THERAPY REHABILITATION PC |
| Practice Address |
4626 White Plains Rd Bronx NY 10470-1610 |
| Mailing Address |
Po Box 1031 Lodi NJ 07644-7031 |
| Practice Telephone | 7183248166 |
| Practice Fax Number | 7183247539 |
| Mailing Telephone | 7183248166 |
| Mailing Fax Number | 7183247539 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | DR. ANTHONY AKINLOYE OLOKUNGBEMI (DIRECTOR) |
| Authorized Official Telephone | 7183248166 |
| 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 |
015375 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROAD MEDICARE | DE3680 | 01 |
| NY | WELLCARE | 228870 | 01 |
| NY | GHI PPO | 660533 | 01 |
| NY | MULTIPLAN | P-11231046 | 01 |
| NY | METROPLUS | 0P015375 | 01 |
| NY | 01701817 | 05 | |
| NY | UNITED HEALTH CARE | 2292361 | 01 |
| NY | GHI HMO | 000000073981-B | 01 |
| NY | CIGNA | 6202200 | 01 |
| NY | BLUE CROSS BLUE SHIELD | QP768 | 01 |
| NY | GHI MEDICARE | 05714G | 01 |
| NY | AFFINITY | 201130400016 | 01 |
| NY | DEPT. OF LABOR | 105663900 | 01 |
| NY | HIP | 121300P | 01 |
| Street Address |
4626 WHITE PLAINS RD |
| City | BRONX |
| State | NY |
| Zip Code | 10470-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932287042 | Gregory Emili | Internal Medicine | 4626 White Plains Rd, 1st Flr, Bronx, NY 10470-1610 | 2006-11-02 |
| 1558987479 | Red Core Ptpta and Rehabilitation Pllc | Physical Therapist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2020-06-17 |
| 1427604610 | Vivid Vision Optometry Pllc | Optometrist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2019-08-13 |
| 1528536125 | Kelechi Precious Erondu | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2018-11-13 |
| 1740726181 | Boris Mosheyev | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2017-01-09 |
| 1851761233 | Balm of Gilead Medical Office, PC | Pain Medicine | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2015-09-29 |
| 1063791382 | Carmalita Ann Taylor Thomas | Clinic/Center | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2011-08-04 |
| 1104117373 | Balm of Gilead Certified Home Care Agency Inc | Home Health | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2011-04-22 |
| 1336476779 | Katherine Romero-rodriguez | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2009-11-05 |
| 1548593320 | Interborough Anesthesia | Specialist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2009-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088850 | Veronica Lonati | Registered Nurse | 4250 Van Cortland Avenue Park East, Bronx, NY 10470 | 2019-02-06 |
| 1336625011 | Carefirst Pharmacy Services Inc | Pharmacy | 4649-4653 White Plains Road, Bronx, NY 10470 | 2018-07-16 |
| 1043740095 | Dana George | Registered Nurse | 4509 Carpenter Avenue, Bronx, NY 10470 | 2017-06-13 |
| 1356877799 | Kristoffer Leonard Castro | Physical Therapist | 552 East 240th St, Bronx, NY 10470 | 2017-05-04 |
| 1851748032 | Dorothy Avery Saunders-smith | Registered Nurse | 4401 Bronx Blvd., Bronx, NY 10470 | 2016-05-18 |
| 1811343981 | Nadine Brown-vassell | Licensed Practical Nurse | 4756 Richardson Avenue, Bronx, NY 10470 | 2016-05-09 |
| 1700230505 | Aminat Adetoun Akintola | Registered Nurse | 801 E 214st Street, Bronx, NY 10470 | 2016-04-18 |
| 1306200134 | Yanisse Toure | Licensed Practical Nurse | 801 East 241 Street, Bronx, NY 10470 | 2016-04-07 |
| 1083077804 | Christelle Bakayoko I | Licensed Practical Nurse | 801 E 241st Street, Bronx, NY 10470 | 2016-03-30 |
| 1174984991 | Sharon Siaw | Registered Nurse | 801-815 E 241st Street, Bronx, NY 10470 | 2016-03-08 |
| Find all providers in zip 10470 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006668 | Chang Health Physical Therapy P.C. | Clinic/Center | 2488 Grand Concourse # 206, Bronx, NY 10458-5203 | 2019-04-12 |
| 1801373592 | Care More Pt. PC. | Clinic/Center | 800 Saint Anns Ave, Bronx, NY 10456-7791 | 2018-07-25 |
| 1285178814 | Manual Approach Physical Therapy PC | Clinic/Center | 332 E 149th St, Suite 200, Bronx, NY 10451-5606 | 2016-12-16 |
| 1902255680 | High Point Physical Therapy P.C. | Clinic/Center | 1781 Jerome Ave, Bronx, NY 10453-5711 | 2016-06-03 |
| 1376900324 | Therapy | Clinic/Center | 66 Pell Pl, Bronx, NY 10464-1514 | 2016-01-21 |
| 1659752558 | Complete Spinal Physical Therapy | Clinic/Center | 2510 Westchester Ave Ste 104, Bronx, NY 10461-3585 | 2015-06-16 |
| 1346682374 | Melrose Physical Therapy P.C. | Clinic/Center | 897 Melrose Ave # A, Bronx, NY 10451-4172 | 2013-07-18 |
| 1013256346 | Ny Total Body Physical Therapy, Pllc | Clinic/Center | 906 E 180th St, Suite 201, Bronx, NY 10460-1916 | 2013-02-06 |
| 1801171822 | Ladybird Clinical Rehab Pt PC | Clinic/Center | 3167 E Tremont Ave # B, Bronx, NY 10461-5718 | 2011-10-21 |
| 1033490628 | Corepower Physical Therapy P.C. | Clinic/Center | 731 E 226th St, Bronx, NY 10466-4201 | 2011-09-08 |
| Find all providers in BRONX | ||||
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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.