Optimum Physical Therapy

LBN: Keith R. Madonia, P.A.
Optimum Physical Therapy is an health care organization with primary practice located at 2042 Sw Providence Pl , Port St Lucie FL 34953-4385. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Keith R. Madonia, P.A. can be contacted via phone (305) 310-3702, or through Madonia, Keith Ryan via phone (305) 310-3702.

Contact Information

Primary practice address
2042 Sw Providence Pl Port St Lucie FL 34953-4385
Fax:
Website:
Authorized official contact:
Name: Madonia, Keith Ryan Physical Therapist (PT)

Health care specialties

Profile Details

NPI number 1417352485
LBN Legal business name Keith R. Madonia, P.A.
DBA Doing business as Optimum Physical Therapy
Authorized official Madonia, Keith Ryan Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2014
Last updated May 1st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417352485 NPPES
Florida Other IB393A MEDICARE PTAN

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