Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Peds Ok LLC

Organization Physical Therapist · NPI 1417668674

Elite Peds Ok LLC is a Physical Therapist in Broken Arrow, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4800 W San Antonio St # 101
Broken Arrow, OK 74012-6127
Phone: (918) 417-8740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1417668674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Langston — Owner · (918) 766-5233
Other names Elite Pediatric Therapy
NPI enumeratedDecember 8, 2022
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address6385 E 124th Ct S, Bixby, OK 74008-5894

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