Individual provider Active NPI

Brielle Okenfuss, DPT, PT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1174217442
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1394562 Issued in TX
Practice address
520 Fielder North PLZ
Arlington, TX 76012-2309
Phone
(817) 461-4257
Fax
(817) 461-4865
NPI assigned
Jun 8, 2023
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1394562 TX Primary
Physical Therapist 225100000X PT016605 GA

Addresses

Primary practice location

520 Fielder North PLZ
Arlington, TX 76012-2309

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (972) 979-6577

Other practice location 2

3575 Durden Dr NE # 304A
Brookhaven, GA 30319-2253
Phone (404) 469-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016605GAMDPhysical Therapist
1394562TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal PT Physical Therapist Current Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1174217442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FIELDER NORTH PLZ",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122309",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Lemmon Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193737",
            "country_code": "US",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3575 Durden Dr NE # 304A",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303192253",
            "country_code": "US",
            "telephone_number": "404-469-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKENFUSS",
        "first_name": "BRIELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1394562",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.