Individual provider Active NPI

Gary Merriweather Jr., DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1336864388
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6564 Issued in OK
Practice address
9709 E 79TH St
Tulsa, OK 74133-4566
Phone
(918) 994-4000
Fax
(918) 994-4090
NPI assigned
Oct 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5200 AR
Physical Therapist 225100000X 6564 OK Primary

Addresses

Primary practice location

9709 E 79TH St
Tulsa, OK 74133-4566

Mailing address

12469 S Oxford Ave
Bixby, OK 74008-9001
Phone (501) 744-6202

Other practice location 1

8110 S Yale Ave Ste 201
Tulsa, OK 74137-2294
Phone (539) 235-0170

Other practice location 2

507 N Main St
Broken Arrow, OK 74012-2622
Phone (501) 744-6202

Other practice location 3

106 S Main St
Wagoner, OK 74467-5221
Phone (501) 744-6202

Other practice location 4

12469 S Oxford Ave
Bixby, OK 74008-9001
Phone (501) 744-6202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103003001 OK Practitioner - Physical Therapist in Private Practice 1254708902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

8110 S Yale Ave
Suite 201
Tulsa, OK 74137-2294
Phone (539) 235-0170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Dec 14, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Harris & Renshaw Rehab Center, Inc. Physical Therapist CurrentSince Oct 21, 2022 Accepting new patients
Amalgamate Health Services LLC Physical Therapist Past Accepting new patients

Locations

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

8110 S Yale Ave
Ste 201
Tulsa, OK 74137
Phone (539) 235-0170

1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000

Organizations & group practices 5

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1336864388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 S OXFORD AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740089001",
            "telephone_number": "501-744-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334566",
            "telephone_number": "918-994-4000",
            "fax_number": "918-994-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 S Yale Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741372294",
            "country_code": "US",
            "telephone_number": "539-235-0170",
            "fax_number": "539-235-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 N Main St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122622",
            "country_code": "US",
            "telephone_number": "501-744-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744675221",
            "country_code": "US",
            "telephone_number": "501-744-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12469 S Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Bixby",
            "state": "OK",
            "postal_code": "740089001",
            "country_code": "US",
            "telephone_number": "501-744-6202",
            "fax_number": "501-744-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIWEATHER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6564",
            "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 Aug 13, 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.