OrganizationActive
Optimum Wellness Physical Therapy LLC.
NPI 1053604348 · Physical Therapist · Manassas, VA
Provider details
- NPI number
- 1053604348
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Marsha Colon, Physical Therapist(301) 452-2168
- License
- 2305204344 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9625 Surveyor Ct
Ste 200a
Manassas, VA 20110-4422
Phone: (703) 335-8275
Fax: (703) 656-4727
Street-level locationGet directions
Mailing address
9625 Surveyor Ct
Manassas, VA 20110-4422
Registry dates
- Enumerated
- 2011-05-19
- Last updated
- 2015-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.