CUTTING EDGE PHYSICAL THERAPY PLLC (NPI# 1508272006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272006 |
| Entity Type | Organization |
| Organization Name | CUTTING EDGE PHYSICAL THERAPY PLLC |
| Practice Address |
526 Sw 4th St Suite 200 Moore OK 73160-4928 |
| Practice Telephone | 4057592700 |
| Practice Fax Number | 4057592722 |
| Mailing Telephone | 4057592700 |
| Mailing Fax Number | 4057592722 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | SHAWN G WALLACE (MEMBER) |
| Authorized Official Telephone | 4056200145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1796 | OK | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1805 Commons Cir Ste 100c, Yukon, OK 730999519 | 4057592700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205352028 | Cutting Edge Physical Therapy Pllc | Clinic/Center | 1805 Commons Cir Ste 100-b, Yukon, OK 73099-9519 | 2017-08-15 |
| Street Address |
526 SW 4TH ST SUITE 200 |
| City | MOORE |
| State | OK |
| Zip Code | 73160-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154738250 | Therapy In Motion, PC | Clinic/Center | 1025 Sw 19th St, Moore, OK 73160 | 2014-07-21 |
| 1538439286 | Integris Jim Thorpe Rehabilitation Moore | Clinic/Center | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2012-01-11 |
| 1275839326 | R & S Optimal Rehab LLC | Clinic/Center | 1700 S Broadway St, Ste B, Moore, OK 73160-5300 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1417555699 | Turning Point Physical Therapy, Pllc | Clinic/Center | 913 Old Frisco Rd, Norman, OK 73069-6984 | 2020-10-11 |
| 1629684972 | Thera-brand Physical Therapy LLC | Clinic/Center | 24051 County Road 80, Perry, OK 73077-9214 | 2020-09-22 |
| 1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
| 1972151280 | Sooner Health Services Pt, LLC | Clinic/Center | 2401 Tee Cir Ste 207, Norman, OK 73069-6207 | 2019-08-29 |
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.