MEDICARE: OPTIMAL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1457293706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL PT

Provider Business Mailing Address
First Line	:	7532 E GRAND AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-5153
Country	:	US
Telephone Number	:	214-430-4145
Fax Number	:	214-853-5701

Provider Business Practice Location Address
First Line	:	7532 E GRAND AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-5153
Country	:	US
Telephone Number	:	214-430-4145
Fax Number	:	214-853-5701

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIELLE OKENFUSS
Credential	:	PT, DPT
Telephone Number	:	214-430-4145

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “OPTIMAL PT ” Practice Location

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