Organization Active NPI

Optimal Alignment Corp

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1710749189
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OPTIMAL ALIGNMENT CORP
Practice address
4747 S Hulen St Ste 101
Fort Worth, TX 76132-1413
Phone
(682) 708-2225
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Jessica Carlton
Title
Owner
Phone
(682) 708-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4747 S Hulen St Ste 101
Fort Worth, TX 76132-1413

Mailing address

6708 Trinity Landing Dr N
Fort Worth, TX 76132-3740
Phone (682) 708-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503002368 TX Part B Supplier - Clinic/Group Practice 4385084599 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

4747 S Hulen St
Ste 101
Ft Worth, TX 76132
Phone (682) 708-2225

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1710749189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 TRINITY LANDING DR N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323740",
            "telephone_number": "682-708-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 S HULEN ST STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321413",
            "telephone_number": "682-708-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL ALIGNMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-708-2225"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.