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
Phone: (305) 310-3702
Fax:
Website:
Authorized official contact:
Name: Madonia, Keith Ryan Physical Therapist (PT)
Phone: (305) 310-3702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19334 | Florida |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417352485 | NPPES |
| Florida | Other | IB393A | MEDICARE PTAN |
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