Provider Demographics
NPI:1437417953
Name:OPTIMAL KINETICS, LLC
Entity Type:Organization
Organization Name:OPTIMAL KINETICS, LLC
Other - Org Name:KINETIC PILATES AND PHYSICAL THERAPY, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:504-214-7999
Mailing Address - Street 1:5619 MAGAZINE ST
Mailing Address - Street 2:C/O OPTIMAL KINETICS, LLC
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3153
Mailing Address - Country:US
Mailing Address - Phone:504-214-7999
Mailing Address - Fax:504-754-7962
Practice Address - Street 1:5619 MAGAZINE STREEET
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-895-1167
Practice Address - Fax:504-754-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty