MOLLY ELLEN MANUEL (DPT) – Physical Therapist, NPI 1205870128

MOLLY ELLEN MANUEL (DPT) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 3665 (OK). The NPI Number for MOLLY ELLEN MANUEL (DPT) is 1205870128

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY ELLEN MANUEL (DPT)
NPI
1205870128
Phone
(918) 259-1888
Address
2234 W HOUSTON ST STE B
Enumeration Date
15 June 2006
Last Update Date
6 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807217100
Graduation Year
2001 (25 years ago)
PAC ID
1153303482
Group Practice PAC ID
7618221375
Professional Enrollment ID
I20140710000729
Address ID
OK730552437MA103XXSTXX400
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 MOLLY ELLEN MANUEL (DPT)

  • West Houston Street, Broken Arrow, Tulsa County, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740123519

    Phone: (918) 259-1888

    Fax: (918) 251-3725

    Type: Mailing

  • 1742, South 4th Street, Chickasha, Grady County, Oklahoma, 73018, United States

    CHICKASHA, OK 730185901

    Phone: (405) 825-3617

    Fax: (405) 825-3618

    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: 2014-07-10

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
I20140710000729IPhysical 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 minutes2517$0
97140Therapy procedure using manual technique, each 15 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 74012)

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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: 7618221375View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Qualified Speech Language PathologistOK
-OK

Reviews

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Frequently asked questions

How do payers reference MOLLY ELLEN MANUEL (DPT)?
For MOLLY ELLEN MANUEL (DPT), use NPI 1205870128 as the unique 10-digit identifier.
Would MOLLY ELLEN MANUEL (DPT) appear as active to a payer?
You can treat MOLLY ELLEN MANUEL (DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MOLLY ELLEN MANUEL (DPT)?
MOLLY ELLEN MANUEL (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MOLLY ELLEN MANUEL (DPT)?
Travel planning: use Broken Arrow, Oklahoma as the reference point for MOLLY ELLEN MANUEL (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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