Individual provider Active NPI

Jeffrey Frazier, D.P.T.

  • Physical Therapist
  • Moore, OK
National Provider Identifier
1093003378
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4469 Issued in OK
Practice address
1700 S Broadway St Ste E
Moore, OK 73160-5302
Phone
(405) 735-8777
Fax
(405) 735-8778
NPI assigned
Jul 20, 2011
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 4469 OK Primary

Addresses

Primary practice location

1700 S Broadway St Ste E
Moore, OK 73160-5302

Mailing address

1700 S Broadway St Ste E
Moore, OK 73160-5302
Phone (405) 735-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110916000081 OK Practitioner - Physical Therapist in Private Practice 5193996452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Spine and Sports Physical Therapy PLLCGroup PAC ID 0345543229, 9 clinicians

Practice addresses (Care Compare)

1700 S Broadway St
Suite E
Moore, OK 73160-5302
Phone (405) 735-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4469OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osspt NW Okc PLLC Physical Therapist CurrentSince Jan 4, 2016 Accepting new patients
Orthopedic Spine & Sports Physical Therapy PLLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
R & S Optimal Rehab LLC Physical Therapist PastSince Mar 1, 2011 Accepting new patients
Regional Physical Therapy Inc Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Regeneration Physical Therapy, PLLC Physical Therapist PastSince May 1, 2023 Accepting new patients

Locations

1700 S Broadway St
Ste B
Moore, OK 73160
Phone (405) 735-8777

1700 S Broadway St
Ste E
Moore, OK 73160
Phone (405) 735-8777

2420 NW 150th St
Unit 4
Oklahoma City, OK 73134
Phone (405) 735-8777

2422 NW 150th St
Unit 5
Oklahoma City, OK 73134
Phone (405) 735-8777

Organizations & group practices 5

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1093003378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S BROADWAY ST STE E",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605302",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROADWAY ST STE E",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605302",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JEFFREY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.