Healthcare Provider Details

I. General information

NPI: 1942541438
Provider Name (Legal Business Name): OPTIMUM HEALTH PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 BAY RIDGE PKWY
BROOKLYN NY
11209-2702
US

IV. Provider business mailing address

416 BAY RIDGE PKWY
BROOKLYN NY
11209-2702
US

V. Phone/Fax

Practice location:
  • Phone: 718-916-9765
  • Fax: 347-492-0729
Mailing address:
  • Phone: 718-916-9765
  • Fax: 347-492-0729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTOINE M HITTI
Title or Position: CEO
Credential:
Phone: 718-748-6644