NEO Orthopedics and Rehabilitation LLC – Physical Therapist, NPI 1720153638
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEO Orthopedics and Rehabilitation LLC
116 S Wilson St
Vinita, OK 743013730
Phone: (918) 542-4101
Fax: (918) 542-4410
Type: Location
168, Morningside Drive, Sunrise Harbor, Coral Gables, Miami-Dade County, Florida, 33133, United States
MIAMI, OK 743550168
Phone: (918) 542-4101
Fax: (918) 542-4410
Type: Mailing
2225, North Main Street, Miami, Ottawa County, Oklahoma, 74354, United States
MIAMI, OK 743541620
Phone: (918) 542-4101
Fax: (918) 542-4410
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: 2019-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (128 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190124002060 | O | Physical/Occupational Therapy Group In Private Practice | OK | 2026-01-31 |
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.
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 74301)
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