Individual provider Active NPI

Jeremy M Pacious, DPT

  • Orthopedic Physical Therapist
  • Naples, FL
National Provider Identifier
1003600941
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
2260 Logan Blvd N Unit 302
Naples, FL 34119-1491
Phone
(239) 342-1340
NPI assigned
Apr 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

2260 Logan Blvd N Unit 302
Naples, FL 34119-1491

Mailing address

27911 Wedgeoak CT
Katy, TX 77494-3371
Phone (518) 376-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709002377 FL Practitioner - Physical Therapist in Private Practice 3678087822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Optimal Health LLCGroup PAC ID 0941686968, 3 clinicians

Practice addresses (Care Compare)

2260 Logan Blvd N
Unit 302
Naples, FL 34119-1491
Phone (877) 379-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Optimal Health LLC Orthopedic CurrentSince Jun 11, 2025 Accepting new patients

Locations

9 W Broad St
Ste 100
Stamford, CT 06902

2260 Logan Blvd N
Unit 302
Naples, FL 34119
Phone (239) 342-1340

225 Banyan Blvd
Ste 130
Naples, FL 34102

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1003600941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 WEDGEOAK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943371",
            "telephone_number": "518-376-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LOGAN BLVD N UNIT 302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191491",
            "telephone_number": "239-342-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIOUS",
        "first_name": "JEREMY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.