Optimal Physical Therapy Sports and Wellness Center,llc
NPI 1588172852 · Physical Therapist · Rockville, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optimal Physical Therapy Sports and Wellness Center,llc is a Physical Therapist organization in Rockville, MD (NPI 1588172852).
Provider details
- NPI number
- 1588172852
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Valentin Koretsky, Office Manager(301) 792-3586
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 11215 Woodglen DrRockville, MD 20852-3035Phone: (301) 792-3587
Registry dates
- Enumerated
- 2018-01-19
- Last updated
- 2024-03-11
- Certified
- 2024-03-11
Frequently asked questions
- What is Optimal Physical Therapy Sports and Wellness Center,llc's NPI number?
- Optimal Physical Therapy Sports and Wellness Center,llc's National Provider Identifier (NPI) is 1588172852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optimal Physical Therapy Sports and Wellness Center,llc?
- Optimal Physical Therapy Sports and Wellness Center,llc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Optimal Physical Therapy Sports and Wellness Center,llc located?
- Optimal Physical Therapy Sports and Wellness Center,llc's practice location on file with NPPES is 15245 Shady Grove Rd Ste 475, Rockville, MD 20850-3222.
- What is Optimal Physical Therapy Sports and Wellness Center,llc's phone number?
- The practice phone number listed in the NPPES registry for Optimal Physical Therapy Sports and Wellness Center,llc is (240) 474-5185.
- Does Optimal Physical Therapy Sports and Wellness Center,llc accept Medicare?
- Optimal Physical Therapy Sports and Wellness Center,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optimal Physical Therapy Sports and Wellness Center,llc?
- The authorized official listed on Optimal Physical Therapy Sports and Wellness Center,llc's NPPES record is Valentin Koretsky, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optimal Physical Therapy Sports and Wellness Center,llc's NPI active?
- Yes — Optimal Physical Therapy Sports and Wellness Center,llc's NPI (1588172852) is active in the NPPES registry as of the last update on 2024-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.