Active NPI
Gary Merriweather Jr., DPT
- Physical Therapist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Harris & Renshaw Rehab Center, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Stillwater, OK
- NPI 1205162716
-
- Physical Therapist
- Bixby, OK
- NPI 1477406676
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1528702966
Physical Therapist
-
- Physical Therapy Clinic/Center
- North Little Rock, AR
- NPI 1336478031
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
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.