IndividualActive
Jason Hartog, MPT
NPI 1154512564 · Physical Therapist · Pryor, OK
Provider details
- NPI number
- 1154512564
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- License
- 4015 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
1486 S Elliott St
Pryor, OK 74361-8002
Phone: (918) 825-2333
Fax: (918) 825-6266
Street-level locationGet directions
Mailing address
4004 S Yale Ave
Tulsa, OK 74135-6017
Registry dates
- Enumerated
- 2007-08-09
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.