Provider Demographics
NPI:1972116515
Name:OPTIMAL PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:OPTIMAL PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:OPTIMAL PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:561-351-1702
Mailing Address - Street 1:401 MAPLEWOOD DR STE 4
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5848
Mailing Address - Country:US
Mailing Address - Phone:561-351-1702
Mailing Address - Fax:561-768-4416
Practice Address - Street 1:401 MAPLEWOOD DR STE 4
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5848
Practice Address - Country:US
Practice Address - Phone:561-351-1702
Practice Address - Fax:561-768-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty