Organization Active NPI

Optimalbody Fitness LLC

  • Case Management Agency
  • Indio, CA
National Provider Identifier
1568315893
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPTIMALBODY FITNESS LLC
Practice address
51164 Mystic Tyme Dr
Indio, CA 92201-9658
Phone
(407) 346-1241
NPI assigned
Feb 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. David Lyons, DAS
Title
Director
Phone
(407) 346-1241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

51164 Mystic Tyme Dr
Indio, CA 92201-9658

Mailing address

52 Riley Rd # 198
Celebration, FL 34747-5420
Phone (407) 346-1241

National Provider Directory

National Provider Directory

Locations

52 Riley Rd
Kissimmee, FL 34747
Phone (407) 913-6602

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1568315893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 RILEY RD # 198",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475420",
            "telephone_number": "407-346-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51164 MYSTIC TYME DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019658",
            "telephone_number": "407-346-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMALBODY FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-346-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.