Organization Active NPI

Kyle Sparkes DPT PLLC

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1740147636
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KYLE SPARKES DPT PLLC
Practice address
11901 N Macarthur Blvd Ste G2
Oklahoma City, OK 73162-1854
Phone
(405) 633-0783
Fax
(405) 896-8414
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Kyle SparkesNPI 1104433887
Title
Owner
Phone
(405) 633-0783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11901 N Macarthur Blvd Ste G2
Oklahoma City, OK 73162-1854

Mailing address

10428 NW 37TH St
Yukon, OK 73099-3209
Phone (405) 633-0783

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260211003651 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092294793 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1740147636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 NW 37TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993209",
            "telephone_number": "405-633-0783",
            "fax_number": "405-896-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 N MACARTHUR BLVD STE G2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621854",
            "telephone_number": "405-633-0783",
            "fax_number": "405-896-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE SPARKES DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "SPARKES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-633-0783"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.