OrganizationActive
Choctaw Physical Therapy LLC
NPI 1093938383 · Physical Therapy Clinic/Center · Choctaw, OK
Provider details
- NPI number
- 1093938383
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Wallace, Owner - Partner(405) 769-5555
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13390 Ne 23rd St
Choctaw, OK 73020-8622
Phone: (405) 769-5555
Fax: (405) 769-5558
Street-level locationGet directions
Mailing address
13390 Ne 23rd St
Choctaw, OK 73020-8622
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.