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

Edelyn O Conrad, PT

Individual provider Physical Therapist · NPI 1619088259

Edelyn O Conrad, PT is a Physical Therapist in Private Practice in Yukon, Oklahoma. Qualified in 1988, 38 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
38
Licensed in
OK
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9041 NW 118th St
Yukon, OK 73099-8942
Phone: (918) 200-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1913 (OK)

Record details

NPI number1619088259
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022
Mailing address9041 Nw 118th St, Yukon, OK 73099-8942

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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