| Optimus Health Center, Inc. | |
|
657 E Broadway Blvd, Jefferson City, TN 37760-4906 | |
| (865) 475-3101 | |
| (865) 475-9213 |
| Full Name | Optimus Health Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 657 E Broadway Blvd, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902822588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Fiorello Pacia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083615843 PECOS PAC ID: 1456261619 Enrollment ID: I20050714001085 |
| Provider Name | Eric S Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588834295 PECOS PAC ID: 3173609096 Enrollment ID: I20080318000490 |
| Provider Name | Milagros H Pacia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629079496 PECOS PAC ID: 1456387968 Enrollment ID: I20090723000524 |
| Provider Name | Andrew Fultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306677083 PECOS PAC ID: 7911435649 Enrollment ID: I20250109000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimus Health Center, Inc. 657 E Broadway Blvd, Jefferson City, TN 37760-4906 Ph: (865) 475-3101 | Optimus Health Center, Inc. 657 E Broadway Blvd, Jefferson City, TN 37760-4906 Ph: (865) 475-3101 |
Jason Curtis Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 | |
Fiorello Erico Pacia Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9012 | |
Andrew Fultz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 | |
Mossy Creek Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 1405 S Sizer Ave, Jefferson City, TN 37760 Phone: 865-246-8090 | |
Sydnie Jordan Hodge, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 283 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9037 | |
John Duty, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 646 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-6890 | |
Mrs. Milagros Pacia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213 |