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Oklahoma Medical Clinic LLC

Physical Medicine & Rehabilitation Physician in Oklahoma City, OK · enumerated 2014 · authorized official Tracy Ellis, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629489612

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Registry record

Entity type Organization (Type 2)
Legal business name Oklahoma Medical Clinic LLC
Practice address 10317 Greenbriar Pkwy, Oklahoma City, OK, 73159
Phone (405) 378-3400
Fax (186) 632-3795
Enumeration date May 13, 2014
Last updated in NPPES Apr 23, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Tracy Ellis
Title Member
Phone (405) 664-7622

Other identifiers

Identifier Type State Issuer
7663770001 Other TX MEDICARE DME

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Oklahoma Medical Clinic LLC?
The NPI for Oklahoma Medical Clinic LLC is 1629489612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Oklahoma Medical Clinic LLC?
NPPES lists Tracy Ellis (Member) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-23.