Active NPI
Maeleesa Harrell, PTA
- Physical Therapist
- Atoka, OK
National Provider Identifier
1629927694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3983
- Practice address
- 1633 S Virginia Ave
Atoka, OK 74525 - Phone
- (580) 364-7090
- Fax
- (844) 203-9997
- NPI assigned
- Jan 23, 2026
- 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 | 3983 | OK | Primary |
Addresses
Primary practice location
1633 S Virginia Ave
Atoka, OK 74525
Mailing address
1633 S Virginia Ave
Atoka, OK 74525
Phone (580) 364-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3983 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 40:31 Physical Therapy and Fitness, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Atoka, OK
- NPI 1386017051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1629927694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "74525",
"telephone_number": "580-364-7090",
"fax_number": "844-203-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "74525",
"telephone_number": "580-364-7090",
"fax_number": "844-203-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "MAELEESA",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-23",
"last_updated": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.