EUGENE JR. DELOACH (DPT) – Orthopedic Physical Therapist, NPI 1174016083

EUGENE JR. DELOACH (DPT) is a healthcare provider. based in Edmond, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1348091 (TX). The NPI Number for EUGENE JR. DELOACH (DPT) is 1174016083

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
EUGENE JR. DELOACH (DPT)
NPI
1174016083
Phone
(580) 583-5039
Address
19108 BAJO DR
Enumeration Date
14 June 2018
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813489588
Graduation Year
2018 (8 years ago)
PAC ID
1759637523
Group Practice PAC ID
9133039647
Professional Enrollment ID
I20210603001869
Address ID
TX773392255KI605XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for EUGENE JR. DELOACH (DPT)

  • 19108 BAJO DR

    EDMOND, OK 730122654

    Phone: (580) 583-5039

    Type: Mailing

  • 25009 CALAIS NEW CT

    KINGWOOD, TX 773392755

    Phone: (580) 583-5039

    Type: Mailing

  • 17516 US HIGHWAY 59

    NEW CANEY, TX 773578717

    Phone: (281) 689-9440

    Type: Location

  • Northwest 39th Expressway, Bethany, Oklahoma County, Oklahoma, 73008, United States

    BETHANY, OK 730082605

    Phone: (405) 717-6290

    Type: Location

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: 2021-06-03

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
I20210603001869IPhysical 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.

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 minutes6915$0
97150Therapy procedure in a group setting4011$0
View full utilization report →

Insurance plans in this area (ZIP 73012)

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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: 9133039647View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeTX
-TX
-TX
Occupational Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

What is EUGENE JR. DELOACH (DPT)'s NPI number?
EUGENE JR. DELOACH (DPT)'s NPI is 1174016083 — the number used across U.S. healthcare to identify this provider.
Is EUGENE JR. DELOACH (DPT) shown as active in public data?
Registry records indicate EUGENE JR. DELOACH (DPT) maintains an active NPI.
What kind of doctor is EUGENE JR. DELOACH (DPT)?
EUGENE JR. DELOACH (DPT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is EUGENE JR. DELOACH (DPT) associated with Edmond?
Public fields place EUGENE JR. DELOACH (DPT) around Edmond, Oklahoma. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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