NPIMap

Organization Active NPI

Optimal Health and Wellness Center PLLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1760366884
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
OPTIMAL HEALTH AND WELLNESS CENTER PLLC
Practice address
700 N Estrella Parkway Ste #145
Suite 145
Goodyear, AZ 85338-9329
Phone
(602) 678-4625
Fax
(855) 845-9287
NPI assigned
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Kerry Knight, PA-CNPI 1194730762
Title
Owner - Physician Assistant
Phone
(623) 640-4973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X

Addresses

Primary practice location

700 N Estrella Parkway Ste #145
Suite 145
Goodyear, AZ 85338-9329

Mailing address

700 N Estrella Parkway Ste #145
Suite 145
Goodyear, AZ 85338-9329
Phone (602) 678-4625

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2318815Optimal Health and Wellness Center700 N Estrella Parkway Ste 145, Goodyear, AZ 85338Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1760366884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PARKWAY STE #145",
            "address_2": "SUITE 145",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389329",
            "telephone_number": "602-678-4625",
            "fax_number": "855-845-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PARKWAY STE #145",
            "address_2": "SUITE 145",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389329",
            "telephone_number": "602-678-4625",
            "fax_number": "855-845-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH AND WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER - PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "623-640-4973",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.