| Organization Name: | OPTIMUS HEALTH CENTER, INC. |
| NPI Number: | 1902822588 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FIORELLO ERICO N. PACIA (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 657 E Broadway Blvd Jefferson City |
| State: | TN US |
| Postal Code: | 377604906 |
| Phone Number: | 8654753101 |
| Fax Number: | 8654759213 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |