Optima Therapy Services Corp.

LBN: Optima Therapy Services Corp.
Optima Therapy Services Corp. is an health care organization with primary practice located at 621 Washington St Sw Suite B1, Gainesville GA 30501-8567. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Optima Therapy Services Corp. can be contacted via phone (678) 936-3535, or through Stefanoff, Joshua E. via phone (678) 936-3535.

Contact Information

Primary practice address
621 Washington St Sw Suite B1 Gainesville GA 30501-8567
Phone: (678) 936-3535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stefanoff, Joshua E.
Phone: (678) 936-3535

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT004965 Georgia

Profile Details

NPI number 1962885111
LBN Legal business name Optima Therapy Services Corp.
DBA Doing business as
Authorized official Stefanoff, Joshua E.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2015
Last updated Jul 7th, 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 1962885111 NPPES
Georgia MEDICAID 896763088F

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