Provider Demographics
NPI:1114583283
Name:OPTIMIZE PHYSICAL THERAPY AND PERFORMANCE
Entity Type:Organization
Organization Name:OPTIMIZE PHYSICAL THERAPY AND PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-730-0791
Mailing Address - Street 1:6328 ROCK STREAM LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8970
Mailing Address - Country:US
Mailing Address - Phone:248-730-0791
Mailing Address - Fax:
Practice Address - Street 1:9890 S MARYLAND PKWY STE 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7149
Practice Address - Country:US
Practice Address - Phone:248-730-0791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy