OrganizationActive
Cutting Edge Physical Therapy PLLC
NPI 1508272006 · Physical Therapy Clinic/Center · Moore, OK
Provider details
- NPI number
- 1508272006
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Wallace, Member(405) 265-1628
- License
- 1796 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
526 Sw 4th St
Suite 200
Moore, OK 73160-4928
Phone: (405) 759-2700
Fax: (405) 759-2722
Approximate (ZIP-level) locationGet directions
Mailing address
526 Sw 4th St Ste 200
Moore, OK 73160-5409
Additional practice locations (1)
- 1805 Commons Cir Ste 100cYukon, OK 73099-9519Phone: (405) 759-2700
Registry dates
- Enumerated
- 2014-07-03
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.