OrganizationOptimal Care Physical Therapy, PcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address215 Hallock Road, Suite 5, Stony Brook, NY 11790(631) 689-6666PECOS EnrollmentBased on the most recent information from CMS, provider Optimal Care Physical Therapy, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659562023Provider TypeOrganizationFull NameOptimal Care Physical Therapy, PcSubpartNoEnumeration Date8/9/2007Last Updated8/9/2007Contact InformationPractice LocationPractice Address215 Hallock Road, Suite 5, Stony Brook, NY 11790Phone(631) 689-6666Fax(631) 689-6668Mailing LocationMailing Address215 Hallock Road, Suite 5, Stony Brook, NY 11790Phone(631) 689-6666Fax(631) 689-6668Authorized OfficialNameRosario, Tricia Ann (Vice President/Owner)Phone(631) 689-6666Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDQ4WXW1DescriptionOtherIssuerMEDICARENew York