Troy William Tippeconnic
Individual provider Active NPI Physical Therapist · Harrah, OK
NPI 1821722174 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1821722174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6222 (OK)
- Practice address
- 20208 NE 23Rd St
Harrah, OK 73045-9123 - Phone
- (405) 454-0010
- NPI assigned
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Physical Therapy LLC
H2 Health Oklahoma Outpatient Clinics LLC
Practice addresses (Care Compare)
20208 NE 23Rd St
Harrah, OK 73045-9123
Phone (405) 454-0010
9402 A N May Ave
Oklahoma City, OK 73120-2712
Phone (405) 749-6720
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 99.06
- Improvement activities
- 40
- Cost
- 50.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523000000 | OK | Practitioner - Physical Therapist in Private Practice | 7517323264 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current |
Accepting new patients |
| Precision Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Valir Outpatient Clinics LLC | Past |
Accepting new patients |
Locations
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
19629 NE 23rd St
Harrah, OK 73045
Phone (405) 390-4433
20208 NE 23rd St
Harrah, OK 73045
Phone (405) 454-0010
7005 SE 15th St
Ste 200
Midwest City, OK 73110
Phone (405) 610-2488
5002 S Anderson Rd
Oklahoma City, OK 73150
Phone (405) 454-0010
9402A N May Ave
Oklahoma City, OK 73120
Phone (405) 749-6720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6222 | OK | Yes |
Addresses
Primary practice location
20208 NE 23Rd St
Harrah, OK 73045-9123
Mailing address
PO Box 746
Harrah, OK 73045-0746
Other providers in Harrah, OK
- Jennifer Swank
- Suzanne Tarver
- The Family Care Center of Harrah, Inc.
- The Office of Counseling Services
- Jacob Charles Thomas
- Natalie Valentine
- Rebecca D Webster
- Breanna Marie Wesselhoft
- Megan Wilkey
- Wolfe Living Center Association
All providers in Harrah, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.