DEVAUGHN ABRAM (PT) – Physical Therapist, NPI 1184400343

DEVAUGHN ABRAM (PT) is a healthcare provider. based in Edmond, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6416 (OK). The NPI Number for DEVAUGHN ABRAM (PT) is 1184400343

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DEVAUGHN ABRAM (PT)
NPI
1184400343
Phone
(405) 285-9659
Address
3125 N SOONER RD STE 150
Enumeration Date
5 September 2023
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052859659
Graduation Year
2023 (3 years ago)
PAC ID
1658729371
Group Practice PAC ID
8325364151
Professional Enrollment ID
I20240105000717
Address ID
OK730348379ED3125XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for DEVAUGHN ABRAM (PT)

  • 3125 N SOONER RD STE 150

    EDMOND, OK 730348333

    Phone: (405) 285-9659

    Fax: (405) 920-6070

    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: 2024-01-05

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
I20240105000717IPhysical 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.

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

Insurance plans in this area (ZIP 73034)

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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: 8325364151View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK
-OK

Reviews

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Frequently asked questions

Does DEVAUGHN ABRAM (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEVAUGHN ABRAM (PT) uses 1184400343.
Does CMS list DEVAUGHN ABRAM (PT) as active?
Yes — DEVAUGHN ABRAM (PT) is active in the NPI listing used on this page.
What is DEVAUGHN ABRAM (PT) best known for clinically?
Directory data describes DEVAUGHN ABRAM (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DEVAUGHN ABRAM (PT)?
DEVAUGHN ABRAM (PT)'s geographic hint is Edmond, Oklahoma in our summary view.
Why does DEVAUGHN ABRAM (PT) 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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