TROY WILLIAM TIPPECONNIC – Physical Therapist, NPI 1821722174

TROY WILLIAM TIPPECONNIC is a healthcare provider. based in Harrah, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 6222 (OK). The NPI Number for TROY WILLIAM TIPPECONNIC is 1821722174

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TROY WILLIAM TIPPECONNIC
NPI
1821722174
Phone
(405) 454-0010
Address
19629 NE 23RD ST
Enumeration Date
13 July 2022
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054540010
Graduation Year
2022 (4 years ago)
PAC ID
7517323264
Group Practice PAC ID
4183634561
Professional Enrollment ID
I20230523000000
Address ID
OK730459123HA20208STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for TROY WILLIAM TIPPECONNIC

  • 19629 NE 23RD ST

    HARRAH, OK 730459305

    Phone: (405) 454-0010

    Type: Location

  • PO BOX 746

    HARRAH, OK 730450746

    Phone:

    Type: Mailing

  • 20208 NE 23RD ST

    HARRAH, OK 730459123

    Phone: (405) 454-0010

    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: 2023-05-23

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
I20230523000000IPhysical 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
97530Therapy procedure using functional activities37542$0
97150Therapy procedure in a group setting8136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5730$0
View full utilization report →

Insurance plans in this area (ZIP 73045)

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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: 4183634561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

What number should I use to identify TROY WILLIAM TIPPECONNIC for billing?
Administrative and clinical systems typically use NPI 1821722174 for TROY WILLIAM TIPPECONNIC.
Is TROY WILLIAM TIPPECONNIC currently accepting referrals based on NPI status?
Registry metadata lists TROY WILLIAM TIPPECONNIC as active.
Which specialty label fits TROY WILLIAM TIPPECONNIC?
NPPES ties TROY WILLIAM TIPPECONNIC to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TROY WILLIAM TIPPECONNIC in Harrah, Oklahoma?
For routing, start with Harrah, Oklahoma for TROY WILLIAM TIPPECONNIC, then verify phone and hours locally.
Who maintains TROY WILLIAM TIPPECONNIC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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