Healthcare Provider Details

I. General information

NPI: 1417802240
Provider Name (Legal Business Name): OPTIMAL REHABILITATION & WELLNESS - GRAND BLANC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8263 S SAGINAW ST STE 5
GRAND BLANC MI
48439-2462
US

IV. Provider business mailing address

8263 S SAGINAW ST STE 5
GRAND BLANC MI
48439-2462
US

V. Phone/Fax

Practice location:
  • Phone: 810-579-7184
  • Fax: 810-579-7185
Mailing address:
  • Phone: 810-579-7184
  • Fax: 810-579-7185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDEN MCDOWELL
Title or Position: OWNER
Credential: PT, DPT, SCS
Phone: 989-262-8500