Healthcare Provider Details

I. General information

NPI: 1649805896
Provider Name (Legal Business Name): OPTIMIZE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8851 ELLSTREE LN STE 201
RALEIGH NC
27617-2046
US

IV. Provider business mailing address

601 JAMERSON RD
CARY NC
27519-1560
US

V. Phone/Fax

Practice location:
  • Phone: 919-995-0219
  • Fax: 919-439-5870
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RASHMI KUMAR
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 919-995-0219