Provider Demographics
NPI:1518115070
Name:OPTIMAL HEALTHCARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:OPTIMAL HEALTHCARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NIPHAPHONE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOPHABMYXAY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:267-251-1784
Mailing Address - Street 1:172 RED ROSE DR
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-2328
Mailing Address - Country:US
Mailing Address - Phone:267-251-1784
Mailing Address - Fax:
Practice Address - Street 1:4548 OLD OAK RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-8810
Practice Address - Country:US
Practice Address - Phone:267-251-1784
Practice Address - Fax:267-247-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016560261QP2000X
PAPT018640261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy