Individual provider Active NPI

David Sirleaf, DPT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1104782325
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OK6805 Issued in OK
Practice address
14017 N Eastern Ave
Edmond, OK 73013-5586
Phone
(405) 478-5333
Fax
(405) 478-5334
NPI assigned
Dec 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 OK6805 OK Primary

Addresses

Primary practice location

14017 N Eastern Ave
Edmond, OK 73013-5586

Mailing address

14017 N Eastern Ave
Edmond, OK 73013-5586
Phone (405) 478-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213000047 OK Practitioner - Physical Therapist in Private Practice 8022598705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Courcier Clinic PLLCGroup PAC ID 0345395448, 4 clinicians

Practice addresses (Care Compare)

14017 N Eastern Ave
Edmond, OK 73013-5586
Phone (405) 478-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6805OKMDPharmacist
OK6805OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Courcier Clinic, PLLC CurrentSince Jan 20, 2026 Accepting new patients

Locations

14017 N Eastern Ave
Edmond, OK 73013
Phone (405) 341-7356

Organizations & group practices 1

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": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1104782325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14017 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "405-478-5333",
            "fax_number": "405-478-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "405-478-5333",
            "fax_number": "405-478-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRLEAF",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "OK6805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.