MISS ROBERTA I NEELY (RPT) – Specialist, NPI 1063693521

MISS ROBERTA I NEELY (RPT) is a healthcare provider. based in Talihina, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials RPT. They hold a License No. 2198 (OK). The NPI Number for MISS ROBERTA I NEELY (RPT) is 1063693521

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MISS ROBERTA I NEELY (RPT)
NPI
1063693521
Phone
(918) 423-8440
Address
1 CHOCTAW WAY
Enumeration Date
26 November 2007
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185677000
Graduation Year
1992 (34 years ago)
PAC ID
3173817301
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20160810000946
Address ID
OK745017143MC1127XEXPY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MISS ROBERTA I NEELY (RPT)

  • 1 CHOCTAW WAY

    TALIHINA, OK 74571

    Phone: (918) 423-8440

    Fax: (918) 423-6889

    Type: Location

  • McAlester Regional Airport, South George Nigh Expressway, Pittsburg County, Oklahoma, United States

    MCALESTER, OK 74501

    Phone: (918) 423-8440

    Fax: (918) 423-6889

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160810000946IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74571)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for MISS ROBERTA I NEELY (RPT)?
MISS ROBERTA I NEELY (RPT) — NPI 1063693521 — is the standard way to identify this listing.
Can I rely on MISS ROBERTA I NEELY (RPT) being an active provider?
As of the registry snapshot, MISS ROBERTA I NEELY (RPT) is marked active.
What is MISS ROBERTA I NEELY (RPT) best known for clinically?
Directory data describes MISS ROBERTA I NEELY (RPT) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does MISS ROBERTA I NEELY (RPT) list a practice location?
Patients near Talihina, Oklahoma may find MISS ROBERTA I NEELY (RPT) in results; validate coverage separately.
Why does MISS ROBERTA I NEELY (RPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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