Active NPI
Gordon M Hyde, MSPT,MA,PT,LAT,ATC
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1093727695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07834
- Practice address
- 7410 E 87TH St
Tulsa, OK 74133-4851 - Phone
- (918) 252-3302
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-07834 | KS | Primary |
| Physical Therapist | 225100000X | 3472 | OK |
Addresses
Primary practice location
7410 E 87TH St
Tulsa, OK 74133-4851
Mailing address
12197 S Valley Rd
Olathe, KS 66061-5663
Phone (918) 812-8918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200050110A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9201 Foster St
Overland Park, KS 66212-2295
Phone (913) 270-8668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3472 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidd-Krafft Occupational and Physical Therapy PA | Physical Therapist | Current | Accepting new patients |
| Movement Works Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Microvas Treatment Centers of America | Past | Accepting new patients |
Locations
4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886
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.
-
dba Powerback Rehabilitation
- Physical Therapist
- Overland Park, KS
- NPI 1225541246
-
- Legal Medicine
- Tulsa, OK
- NPI 1689875213
-
- Physical Therapist
- Bartlesville, OK
- NPI 1407886187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784937600000",
"number": "1093727695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12197 S VALLEY RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615663",
"telephone_number": "918-812-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 E 87TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741334851",
"telephone_number": "918-252-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "GORDON",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MSPT,MA,PT,LAT,ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07834",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3472",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200050110A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.