Optimal Performance LLC
Organization Active NPI Physical Therapy Clinic/Center · Solon, IA
NPI 1992501852 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1992501852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- OPTIMAL PERFORMANCE LLC
- Practice address
- 1560 Palmer CT NE
Solon, IA 52333-8701 - Phone
- (563) 508-4627
- NPI assigned
- Feb 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Ross Petersen
- Title
- Owner
- Phone
- (563) 508-4627
Practitioners 1
-
Ross Petersen, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250623000342 | IA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4587176953 |
Receives reassigned benefits from 1 practitioner Practice locations: Solon, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
1560 Palmer CT NE
Solon, IA 52333-8701
Mailing address
1560 Palmer CT NE
Solon, IA 52333-8701
Phone (563) 508-4627
Other providers in Solon, IA
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- Elizabeth A Mangrich Hickman
- Mercy Services Iowa City, Inc.
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- Nathan Raner
- Lindsey Ann Rooff
- Tara Jo Pickart Saul
- Scott Lawrence Schwartz
- Seasons Therapy LLC
All providers in Solon, IA · Physical Therapy Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.