Active NPI
Lily Eleanor Ruth Vincent, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1891587143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6750
- Practice address
- 1111 S Saint Louis Ave
Tulsa, OK 74120-5440 - Phone
- (918) 619-4400
- Fax
- (918) 619-4662
- NPI assigned
- May 21, 2025
- 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 | 6750 | OK | Primary |
Addresses
Primary practice location
1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Mailing address
401 S Olympia Ave
Tulsa, OK 74127-8824
Phone (918) 619-4600
Other names 1
- Lily Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 S St Louis Ave
Tulsa, OK 74120
Phone (918) 619-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma Ou Physicians Tulsa | Current | Accepting new patients |
Locations
1111 S Saint Louis Ave
Tulsa, OK 74120
Phone (918) 619-4600
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.
-
- Multi-Specialty Clinic/Center
- Tulsa, OK
- NPI 1154385730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1891587143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S OLYMPIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741278824",
"telephone_number": "918-619-4600",
"fax_number": "918-619-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S SAINT LOUIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205440",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "LILY",
"middle_name": "ELEANOR RUTH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.