Cutting Edge Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1796 Issued in OK

Legal business name

CUTTING EDGE PHYSICAL THERAPY PLLC

Practice address

526 SW 4TH St
Suite 200
Moore, OK 73160-4928

Phone

(405) 759-2700

Fax

(405) 759-2722

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Shawn G WallaceNPI 1457323396

Title

Member

Phone

(405) 265-1628

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cutting Edge Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Yukon, OK
  • NPI 1205352028
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn G Wallace, PT, DPT

  • Physical Therapist
  • Yukon, OK
  • NPI 1457323396
  Medicare reassignment NPD Authorized official
• Kelly Wallace, RPT

  • Physical Therapist
  • Choctaw, OK
  • NPI 1184696023
  Medicare reassignment NPD
• Philip Hill, PT

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1003231879

  OK

  Medicare reassignment NPD
• Lisa Gunn

  • Physical Therapy Assistant
  • Moore, OK
  • NPI 1568053064
  NPD
• Cristian Lee Hernandez

  • Physical Therapy Assistant
  • Moore, OK
  • NPI 1467172619
  NPD
• Jacob Lively

  • Physical Therapy Assistant
  • Moore, OK
  • NPI 1407447998
  NPD
• Pedro Rodriguez Jr., PTA

  • Physical Therapy Assistant
  • Moore, OK
  • NPI 1861143117
  NPD

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1508272006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SW 4TH ST STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605409",
            "telephone_number": "405-759-2700",
            "fax_number": "405-759-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SW 4TH ST",
            "address_2": "SUITE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604928",
            "telephone_number": "405-759-2700",
            "fax_number": "405-759-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Commons Cir Ste 100C",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999519",
            "country_code": "US",
            "telephone_number": "405-759-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUTTING EDGE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-265-1628"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Pitts, LLC
• Lisa Gail Culliton, APRN, BSN, MSN
• Caden Finn Culver
• Kimberly Cusher, PT, DPT
• James Lee Cutchall
• Shaunda Leanne Dahlem
• Dalmor LLC
• Rachel Dalthorp, MD
• Denarius Darby
• Darren Elenburg DPM PC

• Physical Therapy Clinic/Center in Moore, OK
• Providers in Moore, OK by specialty
• Physical Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.