OrganizationActive
Optimal Performance and Physical Therapies St. Petersburg, LLC
NPI 1073085734 · Physical Therapist · St Petersburg, FL
Provider details
- NPI number
- 1073085734
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Beth Patterson, Manager(813) 690-4414
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2600 Dr Martin Luther King Jr St N Ste 200b
St Petersburg, FL 33704-2744
Phone: (727) 474-5580
Street-level locationGet directions
Mailing address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.