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
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