Active NPI
Eclipse Therapy Solution
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
National Provider Identifier
1093008385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ECLIPSE THERAPY SOLUTION
- Practice address
- 3112 Cooke Way
Oklahoma City, OK 73179-2401 - Phone
- (405) 601-6767
- Fax
- (405) 601-6761
- NPI assigned
- May 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Trevor Nutt
- Title
- Principal
- Phone
- (405) 601-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3112 Cooke Way
Oklahoma City, OK 73179-2401
Mailing address
PO Box 268946
Oklahoma City, OK 73126-8946
Phone (405) 601-6767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200402780A | Other | OK | OHCA OKLAHOMA MEDICAID |
| 1093008385 | Other | OK | BCBS OF OKLAHOMA |
Other names 1
- None
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120120000071 | OK | DME Supplier - Medical Supply Company | 0345417002 | Practice locations: Oklahoma City, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eclipse Therapy Solution | Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1093008385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268946",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268946",
"telephone_number": "405-601-6767",
"fax_number": "405-601-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 COOKE WAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731792401",
"telephone_number": "405-601-6767",
"fax_number": "405-601-6761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECLIPSE THERAPY SOLUTION",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-19",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "NUTT",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "405-601-6767",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHCA OKLAHOMA MEDICAID",
"identifier": "200402780A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OKLAHOMA",
"identifier": "1093008385",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "None",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 27, 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.