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

Mason Harrell, PT

Individual provider Physical Therapist · NPI 1790554996

Mason Harrell, PT is a Physical Therapist in Private Practice in Atoka, Oklahoma. Qualified in 2023, 3 years ago. Practices with 40 31 Physical Therapy and Fitness PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2023
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

1633 S Virginia Ave
Atoka, OK 74525-3901
Phone: (580) 364-7090
Fax: (844) 203-9997
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6514 (OK)

Record details

NPI number1790554996
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address1633 S Virginia Ave, Atoka, OK 74525-3901

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice 40 31 Physical Therapy And Fitness Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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