Optimus Health Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OPTIMUS HEALTH CENTER, INC.

Doing business as

St. Luke's Therapy Services

Practice address

657 E Broadway Blvd
Jefferson City, TN 37760-4906

Phone

(865) 475-3101

Fax

(865) 475-9213

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Fiorello Erico N. Pacia Jr.NPI 1083615843

Title

Owner/Physical Therapist

Phone

(865) 475-3101

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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

• Fiorello Erico Pacia Jr., PT

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1083615843
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Fultz, PT

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1306677083
  Medicare reassignment Care Compare group NPD
• Michael Hammer

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1407310980
  Medicare reassignment Care Compare group NPD
• Milagros Pacia

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1629079496
  Medicare reassignment Care Compare group NPD
• Laura Jean Malnati Chambers, DPT

  • Physical Therapist
  • Dandridge, TN
  • NPI 1659509255
  NPD
• Eric Scott Jones

  • Physical Therapist
  • Sevierville, TN
  • NPI 1588834295
  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902822588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604906",
            "telephone_number": "865-475-3101",
            "fax_number": "865-475-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604906",
            "telephone_number": "865-475-3101",
            "fax_number": "865-475-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACIA",
        "authorized_official_first_name": "FIORELLO ERICO",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "865-475-3101",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Nichols, PHARMD
• Wanda Kay Agent Nicholson, PT
• Eleisha Jean Nickoles, D.D.S
• Sheri Agatha Nsamenang, M.S.
• Sheila Ann Olsen, FNP
• Overcome Adversity, PLLC
• Fiorello Erico Pacia Jr., PT
• Milagros Pacia
• Aaron Michael Parsons, PA-C
• Pragnesh A Patel, M.D.

• Physical Therapist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.