OPTIMUM PHYSICAL THERAPY AND PERFORMANCE CENTER, LLC
NPI 1255728986
Physical Therapist in Kansas City, MO

Active since April 21, 2015
5501 NW 62ND TER, STE 102, KANSAS CITY, MO 64151(816) 547-6140 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optimum Physical Therapy And Performance Center, Llc NPPES

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

OPTIMUM PHYSICAL THERAPY AND PERFORMANCE CENTER, LLC (NPI 1255728986) is a healthcare organization registered as a physical therapist in Kansas City, Missouri and active in the NPI registry since April 2015. The organization lists Daniel S Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255728986
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameOPTIMUM PHYSICAL THERAPY & PERFORMANCE CENTER, LLC
Location Address5501 NW 62ND TER, STE 102Kansas City, MO 64151-2411
Mailing Address3610 Nw 86th CtKansas City, MO 64154-1283
Organization SubpartNo
Authorized OfficialDaniel S JacksonCeo · (816) 547-6140
Enumeration DateApril 21, 2015
Last NPPES UpdateJuly 30, 2015
✔ NPI 1255728986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5501 NW 62ND TER, Kansas City, MO 64151

Other Names 1

Other NameOptimum Physical Therapy And Performance Center, Llc

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Optimum Physical Therapy And Performance Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1447209630
5501 NW 62ND TER STE 102
Kansas City, MO 64151
(816) 453-4485
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952301756
5501 NW 62ND TER STE 102
Kansas City, MO 64151
(816) 453-4485
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1477732469
5501 NW 62ND TER STE 102
Kansas City, MO 64151
(816) 453-4485
✔ Accepts MedicareSame address

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 Optimum Physical Therapy & Performance Center, LLC's NPI number?

The NPI number for Optimum Physical Therapy & Performance Center, LLC is 1255728986. It was assigned to this organization in the NPPES registry on April 21, 2015. The provider is also known as Optimum Physical Therapy And Performance Center, LLC.

Where is Optimum Physical Therapy & Performance Center, LLC located?

Optimum Physical Therapy & Performance Center, LLC is located at 5501 NW 62nd Ter Ste 102, Kansas City, MO 64151. The listed phone number is (816) 547-6140.

What is Optimum Physical Therapy & Performance Center, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Optimum Physical Therapy & Performance Center, LLC enrolled in Medicare?

Yes. Optimum Physical Therapy & Performance Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimum Physical Therapy & Performance Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Optimum Physical Therapy & Performance Center, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optimum Physical Therapy & Performance Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Optimum Physical Therapy & Performance Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optimum Physical Therapy & Performance Center, LLC was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.