Oklahoma Medical Clinic LLC
NPI 1629489612 · Physical Medicine & Rehabilitation Physician · Oklahoma City, OK
Oklahoma Medical Clinic LLC is a Physical Medicine & Rehabilitation Physician organization in Oklahoma City, OK (NPI 1629489612).
Provider details
- NPI number
- 1629489612
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Ellis, Member(405) 664-7622
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-05-13
- Last updated
- 2018-04-23
Frequently asked questions
- What is Oklahoma Medical Clinic LLC's NPI number?
- Oklahoma Medical Clinic LLC's National Provider Identifier (NPI) is 1629489612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oklahoma Medical Clinic LLC?
- Oklahoma Medical Clinic LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Oklahoma Medical Clinic LLC located?
- Oklahoma Medical Clinic LLC's practice location on file with NPPES is 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648.
- What is Oklahoma Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Oklahoma Medical Clinic LLC is (405) 378-3400.
- Who is the authorized official for Oklahoma Medical Clinic LLC?
- The authorized official listed on Oklahoma Medical Clinic LLC's NPPES record is Tracy Ellis, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oklahoma Medical Clinic LLC's NPI active?
- Yes — Oklahoma Medical Clinic LLC's NPI (1629489612) is active in the NPPES registry as of the last update on 2018-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.