OrganizationActive
Regeneration Physical Therapy of Weatherford, PLLC
NPI 1104022540 · Physical Therapy Clinic/Center · Weatherford, OK
Provider details
- NPI number
- 1104022540
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Moses, Physical Therapist(580) 772-2662
- License
- 2818 (OK)
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
18 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
125 N Bradley St
Weatherford, OK 73096-5229
Phone: (580) 772-2662
Fax: (580) 772-2241
Street-level locationGet directions
Mailing address
Po Box 512
Weatherford, OK 73096-0512
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.