Individual provider Active NPI

Zachary Lerblance, PT

  • Physical Therapist
  • Yukon, OK
National Provider Identifier
1306701693
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6806 Issued in OK
Practice address
2121 S Yukon Pkwy Ste 200
Yukon, OK 73099-7482
Phone
(405) 578-5447
NPI assigned
Dec 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 6806 OK Primary

Addresses

Primary practice location

2121 S Yukon Pkwy Ste 200
Yukon, OK 73099-7482

Mailing address

PO Box 86
Clinton, OK 73601-0086
Phone (580) 323-8778

Other practice location 1

509 S 30th St
Clinton, OK 73601-3632
Phone (580) 323-8778

Other practice location 2

424 N State St
Weatherford, OK 73096-5121
Phone (580) 772-8778

Other practice location 3

12301 N Western Ave Ste 102
Oklahoma City, OK 73114-8017
Phone (405) 442-0144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204000963 OK Practitioner - Physical Therapist in Private Practice 9032697602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therawest LLCGroup PAC ID 1355424961, 8 clinicians

Practice addresses (Care Compare)

2121 S Yukon Pkwy
Suite 200
Yukon, OK 73099-7482
Phone (405) 578-5447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6806OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therawest LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Therawest LLC Physical Therapist PastSince Dec 21, 2025 Accepting new patients

Locations

509 S 30th St
Clinton, OK 73601
Phone (580) 323-8778

12301 N Western Ave
Ste 102
Oklahoma City, OK 73114
Phone (405) 442-0144

424 N State St
Weatherford, OK 73096
Phone (580) 772-8778

2121 S Yukon Pkwy
Ste 200
Yukon, OK 73099
Phone (405) 578-5447

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1306701693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736010086",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S YUKON PKWY STE 200",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997482",
            "telephone_number": "405-578-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 S 30th St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "OK",
            "postal_code": "736013632",
            "country_code": "US",
            "telephone_number": "580-323-8778",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 N State St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730965121",
            "country_code": "US",
            "telephone_number": "580-772-8778",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 N Western Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731148017",
            "country_code": "US",
            "telephone_number": "405-442-0144",
            "fax_number": "866-490-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERBLANCE",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.