Jon Schultz
Individual provider Active NPI Physical Therapist · Urbandale, IA
NPI 1891995106 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1891995106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004915 (IA)
- Practice address
- 3354 100TH St
Urbandale, IA 50322-3854 - Phone
- (515) 257-7915
- Fax
- (515) 257-7914
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004915 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Performance Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
3354 100th St
Urbandale, IA 50322
Phone (515) 257-7915
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004915 | IA | Yes |
Addresses
Primary practice location
3354 100TH St
Urbandale, IA 50322-3854
Mailing address
3354 100TH St
Urbandale, IA 50322-3854
Phone (515) 257-7915
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.