Organization Active NPI

Eclipse Therapy Solution

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1093008385
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 27, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200402780AOtherOKOHCA OKLAHOMA MEDICAID
1093008385OtherOKBCBS OF OKLAHOMA

Other names 1

  • None Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000071 OK DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 0345417002 Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Eclipse Therapy Solution3112 Cooke Way, Oklahoma City, OK 73179-2401(405) 601-6767 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 assignmentParticipating since Nov 17, 2011

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.