OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
NPI 1215536776
Clinic/Center - Physical Therapy in Jacksonville, FL

Active since October 25, 2020
3030 POWERS AVE, JACKSONVILLE, FL 32207(219) 805-1184 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optimize Physical Therapy And Sports Performance, Llc NPPES

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

OPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC (NPI 1215536776) is a healthcare organization registered as a physical therapy in Jacksonville, Florida and active in the NPI registry since October 2020. The organization lists John Jacob Evanich, President, as its authorized official.

NPPES Registry Identity

NPI1215536776
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameOPTIMIZE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Location Address3030 POWERS AVEJacksonville, FL 32207-8043
Mailing Address4941 White Bluff DrJacksonville, FL 32225-1115 · (219) 805-1184
Organization SubpartNo
Authorized OfficialJohn Jacob EvanichPresident · (219) 805-1184
Enumeration DateOctober 25, 2020
NPPES CertifiedOctober 25, 2020
✔ NPI 1215536776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3030 POWERS AVE, Jacksonville, FL 32207

Other Names 1

Doing Business AsOptimize Physical Therapy And Sports Performance, Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optimize Physical Therapy And Sports Performance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimize Physical Therapy And Sports Performance, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1629594247
8087 NORMANDY BLVD
Jacksonville, FL 32221
(904) 781-5666
✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optimize Physical Therapy And Sports Performance, LLC's NPI number?

The NPI number for Optimize Physical Therapy And Sports Performance, LLC is 1215536776. It was assigned to this organization in the NPPES registry on October 25, 2020.

Where is Optimize Physical Therapy And Sports Performance, LLC located?

Optimize Physical Therapy And Sports Performance, LLC is located at 3030 Powers Ave, Jacksonville, FL 32207. The listed phone number is (219) 805-1184.

What is Optimize Physical Therapy And Sports Performance, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Optimize Physical Therapy And Sports Performance, LLC enrolled in Medicare?

Yes. Optimize Physical Therapy And Sports Performance, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimize Physical Therapy And Sports Performance, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Optimize Physical Therapy And Sports Performance, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optimize Physical Therapy And Sports Performance, LLC was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.