Fundamental Physical Therapy PLLC
NPI 1215266671 · Physical Therapy Clinic/Center · Edmond, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fundamental Physical Therapy PLLC is a Physical Therapy Clinic/Center organization in Edmond, OK (NPI 1215266671).
Provider details
- NPI number
- 1215266671
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Clark, Owner(405) 513-8118
- License
- 821 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-12-15
- Last updated
- 2015-09-01
Frequently asked questions
- What is Fundamental Physical Therapy PLLC's NPI number?
- Fundamental Physical Therapy PLLC's National Provider Identifier (NPI) is 1215266671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamental Physical Therapy PLLC?
- Fundamental Physical Therapy PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fundamental Physical Therapy PLLC located?
- Fundamental Physical Therapy PLLC's practice location on file with NPPES is 3500 S Boulevard, Edmond, OK 73013-5486.
- What is Fundamental Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fundamental Physical Therapy PLLC is (405) 518-8118.
- Does Fundamental Physical Therapy PLLC accept Medicare?
- Fundamental Physical Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fundamental Physical Therapy PLLC?
- The authorized official listed on Fundamental Physical Therapy PLLC's NPPES record is Debra Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamental Physical Therapy PLLC's NPI active?
- Yes — Fundamental Physical Therapy PLLC's NPI (1215266671) is active in the NPPES registry as of the last update on 2015-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.