Healthcare Provider Details

I. General information

NPI: 1114862695
Provider Name (Legal Business Name): OPTIMIZE PELVIC HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 N JACKSON ST
FORSYTH GA
31029-2168
US

IV. Provider business mailing address

71 N JACKSON ST
FORSYTH GA
31029-2168
US

V. Phone/Fax

Practice location:
  • Phone: 478-298-5672
  • Fax: 844-929-1548
Mailing address:
  • Phone: 478-298-5672
  • Fax: 844-929-1548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JODI BROWN
Title or Position: OWNER
Credential: OTR/L
Phone: 478-298-5672