Individual provider Active NPI

Derek Lehman, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1134555758
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4705 Issued in OK
Practice address
10325 Greenbriar PL Ste B
Oklahoma City, OK 73159-7647
Phone
(405) 759-7719
Fax
(405) 759-7718
NPI assigned
Sep 16, 2013
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 4705 OK Primary

Addresses

Primary practice location

10325 Greenbriar PL Ste B
Oklahoma City, OK 73159-7647

Mailing address

10325 Greenbriar PL Ste B
Oklahoma City, OK 73159-7647
Phone (405) 749-6281

Other practice location 1

3044 Classen Blvd
Norman, OK 73071-4055
Phone (405) 267-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131223001356 OK Practitioner - Physical Therapist in Private Practice 2860629672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Physical Therapy Spine Care - Rehab, L.L.C.Group PAC ID 9638230709, 3 clinicians

Practice addresses (Care Compare)

10325 Greenbriar PL
Suite B
Oklahoma City, OK 73159-7647
Phone (405) 759-7719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4705OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Physical Therapy Spine Care - Rehab, L.L.C. Physical Therapist CurrentSince Jan 11, 2020 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

1400 12th Ave SE
Ste 306
Norman, OK 73071
Phone (405) 267-1710

3044 Classen Blvd
Norman, OK 73071
Phone (405) 267-1710

10325 Greenbriar Pl
Ste B
Oklahoma City, OK 73159
Phone (405) 759-7719

3705 W Memorial Rd
Ste 310
Oklahoma City, OK 73134
Phone (405) 749-6281

9210 S Pennsylvania Ave
Oklahoma City, OK 73159
Phone (405) 759-7719

Organizations & group practices 2

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1134555758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 GREENBRIAR PL STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597647",
            "telephone_number": "405-749-6281",
            "fax_number": "405-936-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 GREENBRIAR PL STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597647",
            "telephone_number": "405-759-7719",
            "fax_number": "405-759-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3044 Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730714055",
            "country_code": "US",
            "telephone_number": "405-267-1710",
            "fax_number": "405-759-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2024; 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.