Organization Active NPI

Optimizeyou LLC

  • Sports Medicine (Emergency Medicine) Physician
  • Chandler, AZ
National Provider Identifier
1508462441
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
Legal business name
OPTIMIZEYOU LLC
Practice address
290 S Alma School Rd Ste 15
Chandler, AZ 85224-7633
Phone
(480) 660-8817
Fax
(949) 577-4124
NPI assigned
Dec 7, 2020
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Sammie Jobe
Title
Office Manager
Phone
(480) 660-8817

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X NU Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU

Addresses

Primary practice location

290 S Alma School Rd Ste 15
Chandler, AZ 85224-7633

Mailing address

2165 W Pecos Rd Ste 5
Chandler, AZ 85224-4874
Phone (480) 445-9189

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://app.kareo.com/dashboard-ui/#/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303000201 AZ Part B Supplier - Clinic/Group Practice 7911313747 Receives reassigned benefits from 2 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

2165 W Pecos Rd
Ste 5
Chandler, AZ 85224

290 S Alma School Rd
Ste 15
Chandler, AZ 85224
Phone (480) 508-9325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24421/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1508462441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 W PECOS RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244874",
            "telephone_number": "480-445-9189",
            "fax_number": "949-577-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S ALMA SCHOOL RD STE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247633",
            "telephone_number": "480-660-8817",
            "fax_number": "949-577-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZEYOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "SAMMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-660-8817"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.kareo.com/dashboard-ui/#/",
            "affiliation": "N",
            "address_1": "4121 E Valley Auto Dr Ste 110",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852064632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.