MELISSA LYNN HARGRAVE (DPT) – Physical Therapist, NPI 1194106971

MELISSA LYNN HARGRAVE (DPT) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 4982 (OK). The NPI Number for MELISSA LYNN HARGRAVE (DPT) is 1194106971

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA LYNN HARGRAVE (DPT)
NPI
1194106971
Phone
(918) 622-4126
Address
4812 E 33RD ST
Enumeration Date
17 June 2015
Last Update Date
17 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182520513
Graduation Year
2015 (11 years ago)
PAC ID
8325351703
Group Practice PAC ID
4486939949
Professional Enrollment ID
I20150714001041
Address ID
OK740122044BR825XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MELISSA LYNN HARGRAVE (DPT)

  • 4812 E 33RD ST

    TULSA, OK 741352038

    Phone: (918) 622-4126

    Fax: (918) 270-2398

    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: 2015-07-14

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
I20150714001041IPhysical 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 74135)

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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

Is MELISSA LYNN HARGRAVE (DPT) listed with a National Provider Identifier?
Yes — MELISSA LYNN HARGRAVE (DPT) has NPI 1194106971 on file in the registry.
Is MELISSA LYNN HARGRAVE (DPT) still an active registrant?
MELISSA LYNN HARGRAVE (DPT) carries an active NPI according to the public dataset.
What expertise is attributed to MELISSA LYNN HARGRAVE (DPT)?
MELISSA LYNN HARGRAVE (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MELISSA LYNN HARGRAVE (DPT) located near Tulsa?
MELISSA LYNN HARGRAVE (DPT) currently maps to Tulsa, Oklahoma in this extract.
When was this NPI issued?
Enumeration for MELISSA LYNN HARGRAVE (DPT) is noted as June 17, 2015 where the registry provides it.

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