Optimal Performance and Physical Therapies St. Petersburg, LLC
NPI 1073085734ActiveOrganization· Physical Therapist· St Petersburg, FL
Physical Therapist in St Petersburg, Florida, registered in NPPES in December 2018. The authorized official on file is Beth Patterson, PT, Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1073085734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2018 |
| Last updated in NPPES | Dec 9, 2019 |
| Certified by provider | Dec 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|
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