CUTTING EDGE PHYSICAL THERAPY PLLC – Physical Therapy Clinic/Center, NPI 1508272006

CUTTING EDGE PHYSICAL THERAPY PLLC is a healthcare provider. based in Moore, Oklahoma. specializing in Physical Therapy Clinic/Center. The organization holds a License No. 1796 (OK). The NPI Number for CUTTING EDGE PHYSICAL THERAPY PLLC is 1508272006

Main info

Organization
Name
CUTTING EDGE PHYSICAL THERAPY PLLC
NPI
1508272006
Phone
(405) 759-2700
Address
526 SW 4TH ST
Authorized Official
SHAWN G WALLACE MEMBER
Enumeration Date
3 July 2014
Last Update Date
21 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for CUTTING EDGE PHYSICAL THERAPY PLLC

  • 526 SW 4TH ST

    SUITE 200

    MOORE, OK 731604928

    Phone: (405) 759-2700

    Fax: (405) 759-2722

    Type: Location

  • 1805 Commons Cir Ste 100C

    Yukon, OK 730999519

    Phone: (405) 759-2700

    Type: Location

  • 526 SW 4TH ST STE 200

    MOORE, OK 731605409

    Phone: (405) 759-2700

    Fax: (405) 759-2722

    Type: Mailing

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: 2020-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (923 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
O20141030002169OPhysical/Occupational Therapy Group In Private PracticeOKTBD
O20200921002353OIndependently-Practicing Physical TherapistOK2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 73160)

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Reviews

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Frequently asked questions

Does CUTTING EDGE PHYSICAL THERAPY PLLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CUTTING EDGE PHYSICAL THERAPY PLLC uses 1508272006.
Does CMS list CUTTING EDGE PHYSICAL THERAPY PLLC as active?
Yes — CUTTING EDGE PHYSICAL THERAPY PLLC is active in the NPI listing used on this page.
What healthcare role does CUTTING EDGE PHYSICAL THERAPY PLLC hold?
Scheduling teams often label CUTTING EDGE PHYSICAL THERAPY PLLC under Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
What area does CUTTING EDGE PHYSICAL THERAPY PLLC serve?
CUTTING EDGE PHYSICAL THERAPY PLLC's listing highlights Moore, Oklahoma; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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