| Optimal Alignment Corp | |
|
4747 S Hulen St Ste 101 Fort Worth TX 76132-1413 | |
| (682) 708-2225 | |
| Not Available |
| Full Name | Optimal Alignment Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4747 S Hulen St Ste 101, Fort Worth, Texas |
| Authorized Official Name and Position | Jessica Carlton (OWNER) |
| Authorized Official Contact | 6827082225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Alignment Corp 6708 Trinity Landing Dr N Fort Worth TX 76132-3740 Ph: (682) 708-2225 | Optimal Alignment Corp 4747 S Hulen St Ste 101 Fort Worth TX 76132-1413 Ph: (682) 708-2225 |
| NPI Number | 1710749189 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4385084599 |
|---|---|
| Medicare Enrollment ID | O20240503002368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710749189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 208100000X | Physical Medicine & Rehabilitation | () | Secondary |
| Provider Name | Sunjay S Wagle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013942945 PECOS PAC ID: 5395808539 Enrollment ID: I20090114000084 |
| Provider Name | Thomas D Amon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407854011 PECOS PAC ID: 8628234077 Enrollment ID: I20120730000472 |
| Provider Name | Kyara Martinez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467227694 PECOS PAC ID: 0143763409 Enrollment ID: I20240614003773 |
| Provider Name | Jonas Mansky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881577567 PECOS PAC ID: 1951898873 Enrollment ID: I20251014003923 |
| Provider Name | Nicholas Austin Rusch-maier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033004007 PECOS PAC ID: 4587146865 Enrollment ID: I20260305001575 |
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