OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC (NPI# 1699326298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699326298 |
| Entity Type | Organization |
| Organization Name | OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK LLC |
| Practice Address |
13 White Gate Rd Oxford CT 06478-1502 |
| Practice Telephone | 2038853331 |
| Mailing Telephone | 2038853331 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-01-01 |
| Authorized Official Name | DAVID JAMES GASSNER (OWNER) |
| Authorized Official Telephone | 2038853331 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 009561 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Washington Ave, North Haven, CT 064731769 | 2037071013 |
| Street Address |
13 WHITE GATE RD |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528420270 | Kristin Grasso | Marriage & Family Therapist | 5a Silano Drive, Oxford, CT 06478 | 2016-03-22 |
| 1760609333 | Oxford Dental Associates | Dentist | 35 Old State Rd, Oxford, CT 06478 | 2007-04-18 |
| 1588660245 | Rx Care Pharmacies, Inc | Pharmacy | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2005-06-27 |
| 1164545349 | Anna Mary Hunt | Pharmacist | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2007-04-10 |
| 1952488520 | Cornerstone Medical Services LLC | Durable Medical Equipment & Medical Supplies | 115 Hurley Rd Ste 4a, Oxford, CT 06478-1046 | 2006-11-01 |
| 1548713746 | Price Chopper Inc | Pharmacy | 140 Main St, Oxford, CT 06478-1056 | 2016-07-25 |
| 1972850485 | Stan Peter Lisewski | Pharmacist | 4 Kerski Dr, Oxford, CT 06478-1170 | 2012-08-14 |
| 1356511521 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1 Jacks Hill Rd, Ste 1, Oxford, CT 06478-1190 | 2008-03-04 |
| 1992714208 | Renee Joyce Richardson | Nurse's Aide | 46 Towner Ln, Oxford, CT 06478-1211 | 2006-08-05 |
| 1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
| Find all providers in zip 06478 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176483 | Jae Choi | Massage Therapist | 490 Lakes Edge Dr, Oxford, MI 48371-5225 | 2020-08-29 |
| 1366060592 | Amanda Kay Rawson | Massage Therapist | 407 E Bright St, Oxford, NE 68967-7802 | 2020-07-14 |
| 1538795505 | Amy Lynn Bezy | Massage Therapist | 525 Pontiac St Apt 21, Oxford, MI 48371-4800 | 2020-03-20 |
| 1578103735 | Sandra Suggs | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1386026201 | Kristal Woodruff | Massage Therapist | 406 Galleria Dr, Oxford, MS 38655-5462 | 2015-06-27 |
| 1215246483 | Canice Paliotta | Massage Therapist | 3731 State Highway 12, Oxford, NY 13830-3304 | 2010-10-05 |
| 1245438621 | Gail Marie Brown | Massage Therapist | 1467 County Road 245a, Oxford, FL 34484-2511 | 2007-07-06 |
| 1770652315 | Patricia A. Douglas | Massage Therapist | 1225 Snow St, Suite 17, Oxford, AL 36203-1987 | 2006-11-07 |
| 1336789585 | Shireen Mullink | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1043678378 | Eugenia Shaye Wingo | Massage Therapist | 817 Snow St, Oxford, AL 36203-1211 | 2016-02-01 |
| Find all providers in OXFORD | ||||
Please comment or provide details below to improve the information on OPTIMUM PERFORMANCE THERAPEUTIC MASSAGE & BODYWORK 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.