Organization Active NPI

Optimal Therapeutics LLC

  • Massage Therapist
  • Riverton, UT
National Provider Identifier
1093670176
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
OPTIMAL THERAPEUTICS LLC
Practice address
1864 W 12600 S Ste 1
Riverton, UT 84065-7273
Phone
(801) 810-0569
NPI assigned
Dec 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Jessica Derrick, LMTNPI 1023353711
Title
Owner
Phone
(801) 810-0569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1864 W 12600 S Ste 1
Riverton, UT 84065-7273

Mailing address

12508 S Shade LN
Riverton, UT 84065-1678
Phone (801) 574-7692

Other practice location 1

28 N Main St Ste 6
Tooele, UT 84074-2352
Phone (801) 810-0569

National Provider Directory

National Provider Directory

Locations

1864 W 12600 S
Ste 1
Riverton, UT 84065
Phone (801) 810-0569

28 N Main St
Ste 6
Tooele, UT 84074
Phone (801) 810-0569

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1093670176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 S SHADE LN",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840651678",
            "telephone_number": "801-574-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 W 12600 S STE 1",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657273",
            "telephone_number": "801-810-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 N Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840742352",
            "country_code": "US",
            "telephone_number": "801-810-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-810-0569",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.