Active NPI
Mark Dee Hildebrand, P.T.
- Orthopedic Physical Therapist
- Sapulpa, OK
National Provider Identifier
1295949022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT2525
- Practice address
- 1004 E Bryan Ave
Sapulpa, OK 74066-4513 - Phone
- (918) 224-4280
- Fax
- (918) 224-9227
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2525 | OK | |
| Cardiopulmonary Physical Therapist | 2251C2600X | PT2525 | OK | |
| Neurology Physical Therapist | 2251N0400X | PT2525 | OK | |
| Sports Physical Therapist | 2251S0007X | PT2525 | OK | |
| Orthopedic Physical Therapist | 2251X0800X | PT2525 | OK | Primary |
Addresses
Primary practice location
1004 E Bryan Ave
Sapulpa, OK 74066-4513
Mailing address
9913 E 85TH PL
Tulsa, OK 74133-4511
Phone (918) 294-1602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2525 | OK | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295949022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9913 E 85TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741334511",
"telephone_number": "918-294-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 E BRYAN AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664513",
"telephone_number": "918-224-4280",
"fax_number": "918-224-9227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "MARK",
"middle_name": "DEE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT2525",
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "OK",
"license": "PT2525",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OK",
"license": "PT2525",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "OK",
"license": "PT2525",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OK",
"license": "PT2525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.