MR. RICHARD T. SR. BRANTLEY (RPT) – Physical Therapist, NPI 1790966257

MR. RICHARD T. SR. BRANTLEY (RPT) is a healthcare provider. based in Talihina, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials RPT. They hold a License No. 007789 (GA). The NPI Number for MR. RICHARD T. SR. BRANTLEY (RPT) is 1790966257

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD T. SR. BRANTLEY (RPT)
NPI
1790966257
Phone
(918) 567-7000
Address
1 CHOCTAW WAY
Enumeration Date
26 November 2007
Last Update Date
26 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043515307
Graduation Year
2003 (23 years ago)
PAC ID
4284122607
Group Practice PAC ID
1153317300
Professional Enrollment ID
I20251017004313
Address ID
GA300872971ST1063XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MR. RICHARD T. SR. BRANTLEY (RPT)

  • 1 CHOCTAW WAY

    ATTN: PHYSICAL THERAPY

    TALIHINA, OK 745712022

    Phone: (918) 567-7000

    Fax: (918) 567-7119

    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: 2025-10-17

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
I20251017004313IPhysical Therapist In Private PracticeGATBD

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 74571)

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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: 1153317300View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeNC
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Is there an official ID for MR. RICHARD T. SR. BRANTLEY (RPT) in U.S. healthcare records?
The official identifier for MR. RICHARD T. SR. BRANTLEY (RPT) is NPI 1790966257.
Is MR. RICHARD T. SR. BRANTLEY (RPT) still an active registrant?
MR. RICHARD T. SR. BRANTLEY (RPT) carries an active NPI according to the public dataset.
What expertise is attributed to MR. RICHARD T. SR. BRANTLEY (RPT)?
MR. RICHARD T. SR. BRANTLEY (RPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. RICHARD T. SR. BRANTLEY (RPT) located near Talihina?
MR. RICHARD T. SR. BRANTLEY (RPT) currently maps to Talihina, Oklahoma in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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