OPTIMAL HEALTH PHYSICIANS
NPI 1417238015
Internal Medicine in Rockville, MD

Active since September 09, 2011
15235 SHADY GROVE RD, SUITE 102, ROCKVILLE, MD 20850(301) 330-9430(301) 330-6515 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimal Health Physicians NPPES

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

OPTIMAL HEALTH PHYSICIANS (NPI 1417238015) is a healthcare organization registered as an internal medicine in Rockville, Maryland and active in the NPI registry since September 2011. The organization lists Norton Fishman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417238015
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVITALIZE LLC
Location Address15235 SHADY GROVE RD, SUITE 102Rockville, MD 20850-3234
Mailing Address15235 Shady Grove Rd, Suite 102Rockville, MD 20850-3234 · (301) 330-9430 · Fax (301) 330-6515
Fax(301) 330-6515
Organization SubpartNo
Authorized OfficialNorton FishmanMedical Director · (301) 330-9430
Enumeration DateSeptember 9, 2011
Last NPPES UpdateOctober 24, 2011
NPI 1417238015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0050126
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License H67624 (MD)
15235 SHADY GROVE RD, Rockville, MD 20850

Other Names 1

Doing Business AsOptimal Health Physicians

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
15235 SHADY GROVE RD, SUITE 105
ROCKVILLE, MD 20850
Internal Medicine (Geriatric Medicine)
15235 SHADY GROVE RD, SUITE 102
ROCKVILLE, MD 20850
Dentist (General Practice)
15235 SHADY GROVE RD, SUITE 104
ROCKVILLE, MD 20850
Otolaryngology
15235 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Clinic/Center (Sleep Disorder Diagnostic)
15235 SHADY GROVE RD, STE 301
ROCKVILLE, MD 20850
Internal Medicine
15235 SHADY GROVE RD, #102
ROCKVILLE, MD 20850
Pediatrics
15235 SHADY GROVE RD, SUITE 105
ROCKVILLE, MD 20850
Dentist (General Practice)
15235 SHADY GROVE RD, SUITE 104
ROCKVILLE, MD 20850

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 Revitalize LLC's NPI number?

The NPI number for Revitalize LLC is 1417238015. It was assigned to this organization in the NPPES registry on September 9, 2011. The provider is doing business as Optimal Health Physicians.

Where is Revitalize LLC located?

Revitalize LLC is located at 15235 Shady Grove Rd Suite 102, Rockville, MD 20850. The listed phone number is (301) 330-9430.

What is Revitalize LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Revitalize LLC was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.