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Organization

ELEVATE PEDIATRIC THERAPIES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA L RYLEE (BILLING SPECIALIST)
(918) 341-4343
Entity
Organization

Contact information

Practice address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(918) 341-4343
(918) 341-8687
Mailing address
1110 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5421
(918) 341-4343
(918) 341-8687

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1823
OK
225X00000X
Occupational Therapist
68
OK
235Z00000X
Speech-Language Pathologist
2016
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100748010B
OK
01
442782197001
BLUECROSS AND BLUESHIELDS
OK
01
7866001
AETNA
OK
01
9069034
PHCS / MULTIPLAN
OK
01
9934451
CIGNA
OK
Enumeration date
01/14/2010
Last updated
05/05/2026
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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