Organization
OPTIMA PHYSICAL THERAPY REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY AKINLOYE OLOKUNGBEMI DPT (DIRECTOR)
(718) 324-8166
Entity
Organization
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 324-8166
(718) 324-7539
Mailing address
PO BOX 1031, LODI, NJ 07644-7031
(718) 324-8166
(718) 324-7539
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
015375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000073981-B
GHI HMO
NY
05
—
01701817
—
NY
01
—
05714G
GHI MEDICARE
NY
01
—
0P015375
METROPLUS
NY
01
—
105663900
DEPT. OF LABOR
NY
01
—
121300P
HIP
NY
01
—
201130400016
AFFINITY
NY
01
—
228870
WELLCARE
NY
01
—
2292361
UNITED HEALTH CARE
NY
01
—
6202200
CIGNA
NY
01
—
660533
GHI PPO
NY
01
—
DE3680
RAILROAD MEDICARE
NY
01
—
P-11231046
MULTIPLAN
NY
01
—
QP768
BLUE CROSS BLUE SHIELD
NY
Enumeration date
01/22/2007
Last updated
04/08/2015
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