Provider Demographics
NPI:1902789886
Name:OPTIMUM PERFORMANCE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:OPTIMUM PERFORMANCE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:515-257-7915
Mailing Address - Street 1:3354 100TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3854
Mailing Address - Country:US
Mailing Address - Phone:515-257-7915
Mailing Address - Fax:515-257-7914
Practice Address - Street 1:3354 100TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3854
Practice Address - Country:US
Practice Address - Phone:515-257-7915
Practice Address - Fax:515-257-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty