MAEGAN MICHELLE BLAKEMAN (PT) – Physical Therapist, NPI 1912156365

MAEGAN MICHELLE BLAKEMAN (PT) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4119 (OK). The NPI Number for MAEGAN MICHELLE BLAKEMAN (PT) is 1912156365

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MAEGAN MICHELLE BLAKEMAN (PT)
NPI
1912156365
Phone
(918) 749-0003
Address
5577 S LEWIS AVE
Enumeration Date
10 September 2008
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183679933
Graduation Year
2008 (18 years ago)
PAC ID
0547652760
Group Practice PAC ID
3476898040
Professional Enrollment ID
I20220121000052
Address ID
OK740102823BR122XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

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Provider Addresses for MAEGAN MICHELLE BLAKEMAN (PT)

  • South Lewis Avenue, Tulsa, Tulsa County, Oklahoma, 74171, United States

    TULSA, OK 741057132

    Phone: (918) 749-0003

    Type: Location

  • 5577 S Lewis Ave

    Tulsa, OK 741057132

    Phone: (918) 749-0003

    Type: Location

  • PO BOX 707001

    TULSA, OK 741707001

    Phone: (888) 247-0125

    Fax: (918) 502-8210

    Type: Mailing

  • 122 W 4TH AVE

    BRISTOW, OK 740102823

    Phone: (918) 771-3830

    Fax: (918) 771-3835

    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: 2022-01-21

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
I20220121000052IPhysical 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 minutes93655$0
97140Therapy procedure using manual technique, each 15 minutes12713$0
97162Evaluation for physical therapy, typically 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 74105)

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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: 3476898040View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK
Physical Therapist In Private PracticeAL
Nurse PractitionerTX
Physical Therapist In Private PracticeOK
Nurse PractitionerTX
Nurse PractitionerKS

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Frequently asked questions

Is MAEGAN MICHELLE BLAKEMAN (PT) listed with a National Provider Identifier?
Yes — MAEGAN MICHELLE BLAKEMAN (PT) has NPI 1912156365 on file in the registry.
Is MAEGAN MICHELLE BLAKEMAN (PT) shown as active in public data?
Registry records indicate MAEGAN MICHELLE BLAKEMAN (PT) maintains an active NPI.
What clinical focus is listed for MAEGAN MICHELLE BLAKEMAN (PT)?
At a glance, MAEGAN MICHELLE BLAKEMAN (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MAEGAN MICHELLE BLAKEMAN (PT)?
Directory geography for MAEGAN MICHELLE BLAKEMAN (PT) centers on Tulsa, Oklahoma.
Can I trust this NPI listing for MAEGAN MICHELLE BLAKEMAN (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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