Individual provider Active NPI

Mathew Connor Stockton, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1083229983
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5848 Issued in OK
Practice address
4224 NW 147TH St
Oklahoma City, OK 73134-1813
Phone
(405) 657-8520
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5848 OK Primary

Addresses

Primary practice location

4224 NW 147TH St
Oklahoma City, OK 73134-1813

Mailing address

4224 NW 147TH St
Oklahoma City, OK 73134-1813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000505 OK Practitioner - Physical Therapist in Private Practice 4981092004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11901 N Macarthur Blvd
Suite G2
Oklahoma City, OK 73162-1854
Phone (405) 633-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5848OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connor Stockton DPT PLLC Physical Therapist CurrentSince Nov 29, 2025 Accepting new patients
Starbuck Medical LLC CurrentSince Oct 10, 2021 Accepting new patients
Grayson Starbuck, DPT, PLLC Physical Therapist CurrentSince Jul 20, 2021 Accepting new patients

Locations

11900 N MacArthur Blvd
Ste F7
Oklahoma City, OK 73162
Phone (405) 633-0783

7801 N Robinson Ave
Bldg J3
Oklahoma City, OK 73116
Phone (405) 633-0783

11901 N MacArthur Blvd
Ste G2
Oklahoma City, OK 73162
Phone (405) 633-0783

11901 N MacArthur Blvd
Ste E1
Oklahoma City, OK 73162
Phone (405) 633-0783

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1083229983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 NW 147TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 NW 147TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341813",
            "telephone_number": "405-657-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "MATHEW",
        "middle_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.