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Deric Fenzl, DPT

NPI 1699295162ActiveIndividual· Physical Therapist· Pryor, OK

Physical Therapist (DPT) in Pryor, Oklahoma, licensed in OK, with an NPI issued in June 2017.

Overview

NPI1699295162
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedJun 26, 2017
Last updated in NPPESJun 26, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X5348OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Pryor

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