Active NPI
Evan Blaise Flanagan, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1205335239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5442
- Practice address
- 7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057 - Phone
- (918) 216-9303
- NPI assigned
- Feb 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5442 | OK | Primary |
Addresses
Primary practice location
7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057
Mailing address
6153 S Quebec Ave
Tulsa, OK 74136-1608
Phone (918) 760-4045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180327001108 | OK | Practitioner - Physical Therapist in Private Practice | 2466714779 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20 Overbrook Dr
Suite D
Monroe, OH 45050-3101
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
9136 S Sheridan Rd
Suite B
Tulsa, OK 74133-5328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Mobile Health Care | Physical Therapist | Current | Accepting new patients |
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": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1205335239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6153 S QUEBEC AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361608",
"telephone_number": "918-760-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 RIVERSIDE PKWY UNIT 219",
"city": "TULSA",
"state": "OK",
"postal_code": "741365057",
"telephone_number": "918-216-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "EVAN",
"middle_name": "BLAISE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-05",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5442",
"primary": true
}
],
"identifiers": [],
"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 Jun 20, 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.