MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) – Physical Therapist, NPI 1093727695

MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT,MA,PT,LAT,ATC. They hold a License No. 3472 (OK). The NPI Number for MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) is 1093727695

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC)
NPI
1093727695
Phone
(918) 252-3302
Address
7410 E 87TH ST
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132708668
Graduation Year
1991 (35 years ago)
PAC ID
6305826124
Group Practice PAC ID
1254689169
Professional Enrollment ID
I20250922002626
Address ID
KS662122295OV9201XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

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Provider Addresses for MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC)

  • 7410, East 87th Street South, Chimney Hills, Tulsa, Oklahoma, 74133, United States

    TULSA, OK 741334851

    Phone: (918) 252-3302

    Mailing address matches the actual address.

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: 2025-09-22

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
I20250922002626IPhysical Therapist In Private PracticeKSTBD

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 74133)

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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: 1254689169View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
-MO
Family PracticeIA
Family PracticeIA
Physical Therapist In Private PracticeKS
Family PracticeIA
Family PracticeIA
Family PracticeIA
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Is there an official ID for MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) in U.S. healthcare records?
The official identifier for MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) is NPI 1093727695.
Would MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) appear as active to a payer?
You can treat MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC)?
MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) located near Tulsa?
MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC) currently maps to Tulsa, Oklahoma in this extract.
Can I trust this NPI listing for MR. GORDON M HYDE (MSPT,MA,PT,LAT,ATC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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