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General NPI Number Information
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NPI Number | 1124847678
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Entity Type | Organization
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Legal Business Name | OPTIMUM PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 206 CHEROKEE PARK DR STE 2
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2769
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Country | US
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Telephone | 423-895-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 1742 SYLVAN HILL RD
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City | ELIZABETHTON
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State | TN
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Zip | 37643-3928
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Country | US
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Telephone | 423-895-1722
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Fax |
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | DR. RACHEL LYNNE PETERS
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Credential | PT, DPT
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Telephone | 423-297-1017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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