Organization Active NPI

Oklahoma Physical Therapy Spine Care - Rehab, L.L.C.

Doing business as Oklahoma Physical Therapy

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1073659033
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
710899208 Issued in OK
Legal business name
OKLAHOMA PHYSICAL THERAPY SPINE CARE - REHAB, L.L.C.
Doing business as
Oklahoma Physical Therapy
Practice address
10325 Greenbriar PL
Oklahoma City, OK 73159-7655
Phone
(405) 759-7719
Fax
(405) 759-7718
NPI assigned
Jan 29, 2007
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OKLAHOMA PHYSICAL THERAPY SPINE CARE REHAB., LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Derek Earl LehmanNPI 1134555758
Title
Owner
Phone
(405) 759-7719

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 710899208 OK Primary

Addresses

Primary practice location

10325 Greenbriar PL
Oklahoma City, OK 73159-7655

Mailing address

10325 Greenbriar PL Ste B
Oklahoma City, OK 73159-7647
Phone (405) 759-7719

Other practice location 1

1400 12th Ave SE Ste 306
Norman, OK 73071-2567
Phone (405) 759-7719

Other practice location 2

211 S Main St Ste 306
Noble, OK 73068-9623
Phone (405) 759-7719

Other identifiers 2

IdentifierTypeStateIssuer
200567570BMedicaidOK
200567570AMedicaidOK

Other names 1

  • Oklahoma Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125000602 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638230709 Receives reassigned benefits from 3 practitioners
Practice locations: Norman, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory
Part of
Ok Phys Therapy Spine Care

Locations

211 S Main St
Ste 306
Noble, OK 73068
Phone (405) 759-7719

1400 12th Ave SE
Ste 306
Norman, OK 73071
Phone (405) 267-1710

3044 Classen Blvd
Norman, OK 73071
Phone (405) 267-1710

10325 Greenbriar Pl
Oklahoma City, OK 73159
Phone (405) 759-7719

12301 N Western Ave
Oklahoma City, OK 73114
Phone (405) 962-8123

1925 NW 142nd St
Oklahoma City, OK 73134
Phone (405) 254-7578

3705 W Memorial Rd
Ste 101B
Oklahoma City, OK 73134
Phone (405) 749-6281

9210 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 759-7719

513 E Franklin Ave
Weatherford, OK 73096
Phone (580) 816-5103

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1073659033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 GREENBRIAR PL STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597647",
            "telephone_number": "405-759-7719",
            "fax_number": "405-759-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 GREENBRIAR PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597655",
            "telephone_number": "405-759-7719",
            "fax_number": "405-759-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 12th Ave SE Ste 306",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730712567",
            "country_code": "US",
            "telephone_number": "405-759-7719",
            "fax_number": "405-759-7718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S Main St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Noble",
            "state": "OK",
            "postal_code": "730689623",
            "country_code": "US",
            "telephone_number": "405-759-7719",
            "fax_number": "405-759-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA PHYSICAL THERAPY SPINE CARE - REHAB, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKLAHOMA PHYSICAL THERAPY SPINE CARE REHAB., LLC",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-759-7719"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "710899208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200567570B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200567570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.