CORE PT YUKON PLLC – Orthopedic Physical Therapist, NPI 1932921210

CORE PT YUKON PLLC is a healthcare provider. based in Yukon, Oklahoma. specializing in Orthopedic Physical Therapist. The NPI Number for CORE PT YUKON PLLC is 1932921210

Main info

Organization
Name
CORE PT YUKON PLLC
NPI
1932921210
Phone
(405) 285-8477
Address
4301 N SARA RD
Authorized Official
MARICELA HARRIS ADMINISTRATOR
Enumeration Date
29 October 2024
Last Update Date
15 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for CORE PT YUKON PLLC

  • 4301 N SARA RD

    SUITE 122

    YUKON, OK 730993682

    Phone: (405) 285-8477

    Fax: (405) 285-8499

    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: 2025-01-06

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
O20250106003449OPhysical/Occupational Therapy Group 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

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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 73099)

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Reviews

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Frequently asked questions

Is CORE PT YUKON PLLC listed with a National Provider Identifier?
Yes — CORE PT YUKON PLLC has NPI 1932921210 on file in the registry.
Is there an active status for CORE PT YUKON PLLC?
For scheduling context, CORE PT YUKON PLLC is shown as active in the registry.
What area of care is associated with CORE PT YUKON PLLC?
CORE PT YUKON PLLC's record emphasizes Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with CORE PT YUKON PLLC?
Directory geography for CORE PT YUKON PLLC centers on Yukon, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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