# OPTIMUM PERFORMANCE PHYSICAL THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538136312
- **Authorized official:** MR. RICHARD MARK RUTKOWSKI PT (PRESIDENT OWNER)
- **Authorized official phone:** (845) 986-5099

## Contact information

- **Practice address:** 214 WEST ST, WARWICK, NY 10990-3214
- **Practice address phone:** (845) 986-5099
- **Practice address fax:** (845) 986-5242
- **Mailing address:** POST OFFICE BOX 2038, NEW CITY, NY 10956
- **Mailing address phone:** (845) 638-9079
- **Mailing address fax:** (845) 638-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0108481 | NY | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 11/16/2007