Individual provider Active NPI

Ty Harrison Faglie, DPT, PT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1073197976
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6819 Issued in OK
Practice address
3341 S Elm PL
Broken Arrow, OK 74012-7924
Phone
(918) 449-1332
Fax
(918) 449-8732
NPI assigned
May 7, 2021
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 6819 OK Primary
Recreation Therapist 225800000X

Addresses

Primary practice location

3341 S Elm PL
Broken Arrow, OK 74012-7924

Mailing address

3341 S Elm PL
Broken Arrow, OK 74012-7924
Phone (918) 449-1332

Other practice location 1

1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone (918) 577-3000 ext. 75517

Other practice location 2

2488 E 81st St Ste 290
Tulsa, OK 74137-4299
Phone (918) 927-3199

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Physical Therapy Limited Partnership Physical Therapist PastSince Nov 18, 2025 Accepting new patients
Arrow Physical Therapy Limited Partnership PastSince Nov 18, 2025 Accepting new patients

Organizations & group practices 2

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1073197976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-449-1332",
            "fax_number": "918-449-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-449-1332",
            "fax_number": "918-449-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Honor Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744011318",
            "country_code": "US",
            "telephone_number": "918-577-3000 x75517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2488 E 81st St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374299",
            "country_code": "US",
            "telephone_number": "918-927-3199",
            "fax_number": "918-927-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGLIE",
        "first_name": "TY",
        "middle_name": "HARRISON",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6819",
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.