Individual provider Active NPI

Dru Cody Smith, D.P.T.

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1730407263
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4245 Issued in OK
Practice address
524 W Iola St
Broken Arrow, OK 74012-2564
Phone
(918) 994-5333
Fax
(918) 927-3201
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4245 OK Primary

Addresses

Primary practice location

524 W Iola St
Broken Arrow, OK 74012-2564

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4299
Phone (918) 494-2665

Other practice location 1

1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Phone (918) 619-4400

Other practice location 2

1071 W. Blue Starr Drive
Claremore, OK 74017-2613
Phone (918) 342-3800

Other identifiers 1

IdentifierTypeStateIssuer
200284480AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000869 OK Practitioner - Physical Therapist in Private Practice 8820121668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

524 W Iola St
Broken Arrow, OK 74012-2564
Phone (918) 994-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics of Oklahoma PLLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Board of Regents of the University of Oklahoma Ou Physicians Tulsa CurrentSince Sep 1, 2022 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Oct 31, 2016 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Oct 31, 2016 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2560 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 994-7864

524 W Iola St
Broken Arrow, OK 74012
Phone (918) 994-5333

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

803 W Shawnee Byp
Ste B
Muskogee, OK 74401
Phone (918) 608-1135

1355 W Rogers Blvd
Ste 10
Skiatook, OK 74070
Phone (918) 396-7125

1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

Organizations & group practices 6

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1730407263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374299",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W IOLA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122564",
            "telephone_number": "918-994-5333",
            "fax_number": "918-927-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Saint Louis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741205440",
            "country_code": "US",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-4662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 W. Blue Starr Drive",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740172613",
            "country_code": "US",
            "telephone_number": "918-342-3800",
            "fax_number": "918-342-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DRU",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.