Active NPI
Gabrielle Bozarth, DPT
- Physical Therapist
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6773
- Practice address
- 3125 N Sooner Rd Ste 150
Edmond, OK 73034-8379 - Phone
- (405) 285-9659
- Fax
- (405) 920-6070
- NPI assigned
- Sep 2, 2025
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 6773 | OK | Primary |
Addresses
Primary practice location
3125 N Sooner Rd Ste 150
Edmond, OK 73034-8379
Mailing address
3125 N Sooner Rd Ste 150
Edmond, OK 73034-8379
Phone (405) 285-9659
Other practice location 1
2412 NW 178th St
Edmond, OK 73012-4565
Phone (405) 285-9659 ext. 1
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3125 N Sooner Rd
Suite 150
Edmond, OK 73034-8379
Phone (405) 285-9659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function Physical Therapy, LLC | Current | Accepting new patients | |
| Function Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2412 NW 178th St
Edmond, OK 73012
Phone (405) 285-9659
3125 N Sooner Rd
Ste 150
Edmond, OK 73034
Phone (405) 285-9659
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Edmond, OK
- NPI 1538564224
-
- Physical Therapy Clinic/Center
- Edmond, OK
- NPI 1437872165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1447139480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 N SOONER RD STE 150",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348379",
"telephone_number": "405-285-9659",
"fax_number": "405-920-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 N SOONER RD STE 150",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348379",
"telephone_number": "405-285-9659",
"fax_number": "405-920-6070"
}
],
"practiceLocations": [
{
"address_1": "2412 NW 178th St",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730124565",
"country_code": "US",
"telephone_number": "405-285-9659 x1",
"fax_number": "405-285-8948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOZARTH",
"first_name": "GABRIELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.