Provider Demographics
NPI:1164100426
Name:OPTIMA PHYSICAL THERAPY
Entity Type:Organization
Organization Name:OPTIMA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:205-229-9309
Mailing Address - Street 1:10 OFFICE PARK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2545
Mailing Address - Country:US
Mailing Address - Phone:205-229-9309
Mailing Address - Fax:205-383-1251
Practice Address - Street 1:10 OFFICE PARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2545
Practice Address - Country:US
Practice Address - Phone:205-229-9309
Practice Address - Fax:205-383-1251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty