ELISABETH WILSON (PT) – Physical Therapist, NPI 1134812886

ELISABETH WILSON (PT) is a healthcare provider. based in Glenpool, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6306 (OK). The NPI Number for ELISABETH WILSON (PT) is 1134812886

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ELISABETH WILSON (PT)
NPI
1134812886
Phone
(918) 322-3884
Address
500 E 141ST ST
Enumeration Date
30 May 2023
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183223884
Graduation Year
2023 (3 years ago)
PAC ID
9032573969
Group Practice PAC ID
4486939949
Professional Enrollment ID
I20230912000582
Address ID
OK740333524GL500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for ELISABETH WILSON (PT)

  • 500 E 141ST ST

    GLENPOOL, OK 740333524

    Phone: (918) 322-3884

    Fax: (918) 322-3875

    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: 2023-09-12

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
I20230912000582IPhysical Therapist In Private PracticeOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35737$0
97530Therapy procedure using functional activities22132$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20334$0
97140Therapy procedure using manual technique, each 15 minutes19434$0
View full utilization report →

Insurance plans in this area (ZIP 74033)

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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: 4486939949View full group profile
NameSpecialtyState
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-CA
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

What is the registry number for ELISABETH WILSON (PT)?
The registry entry for ELISABETH WILSON (PT) shows NPI 1134812886.
Does the public listing show ELISABETH WILSON (PT) as active?
ELISABETH WILSON (PT)'s NPI record reflects an active status in NPPES.
Which specialty label fits ELISABETH WILSON (PT)?
NPPES ties ELISABETH WILSON (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELISABETH WILSON (PT)?
ELISABETH WILSON (PT) is associated with Glenpool, Oklahoma in the same public data insurers reference.
Why is information missing for ELISABETH WILSON (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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