NPI Registry.org

Optimize Physical Therapy And Sports Performance, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC12155367762020-10-25

The organization Optimize Physical Therapy And Sports Performance, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1215536776. Registration indicates Optimize Physical Therapy And Sports Performance, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Physical Therapy, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Clinic/Center Physical Therapy, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationOPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Practice Office Address3030 POWERS AVE
JACKSONVILLE, FL US
Practice Office Telephone2198051184
Mailing Address4941 WHITE BLUFF DR
JACKSONVILLE, FL 322251115 US
Business Telephone2198051184
Authorized OfficialJOHN JACOB EVANICH, PRESIDENT
2198051184
HPT Codes
CodePractice
License No
State
261QP2000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Physical Therapy

Speech/Occupational/Physical Therapy/Chiropractor

Clinic/Center Physical Therapy
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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