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OPTIMUM REHAB & SPORTS TRAINING, LLC
NPI 1003165663
Physical Therapist - Orthopedic in Raleigh, NC

Active since August 29, 2012
6405 WESTGATE RD, SUITE 105, RALEIGH, NC 27617(919) 508-6835 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optimum Rehab & Sports Training, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM REHAB & SPORTS TRAINING, LLC (NPI 1003165663) is a healthcare organization registered as an orthopedic in Raleigh, North Carolina and active in the NPI registry since August 2012. The organization lists Mark Dufault, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1003165663
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameOPTIMUM REHAB & SPORTS TRAINING, LLC
Location Address6405 WESTGATE RD, SUITE 105Raleigh, NC 27617-4757
Mailing Address6405 Westgate Rd, Suite 105Raleigh, NC 27617-4757 · (919) 508-6835
Phone(919) 508-6835
Organization SubpartNo
Authorized OfficialMark DufaultOwner/physical Therapist · (919) 667-4873
Enumeration DateAugust 29, 2012
✔ NPI 1003165663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NC · P6231
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

6405 WESTGATE RD, Raleigh, NC 27617
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimum Rehab & Sports Training, LLC's NPI number?

The NPI number for Optimum Rehab & Sports Training, LLC is 1003165663. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Optimum Rehab & Sports Training, LLC located?

Optimum Rehab & Sports Training, LLC is located at 6405 Westgate Rd Suite 105, Raleigh, NC 27617. The listed phone number is (919) 508-6835.

What is Optimum Rehab & Sports Training, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Optimum Rehab & Sports Training, LLC was last updated on August 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.