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JACK O'NEIL DPT
NPI 1104711563
Physical Medicine & Rehabilitation - Sports Medicine in Stillwater, OK

Active since June 09, 2025
170 ATHLETICS CENTER, STILLWATER, OK 74078(425) 591-2804 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack O'neil Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK O'NEIL DPT (NPI 1104711563) is an individual sports medicine provider in Stillwater, Oklahoma, licensed in Texas (1377870) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104711563
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameJACK O'NEILCredential: DPT
Location Address170 ATHLETICS CENTERStillwater, OK 74078-0001
Mailing Address170 Athletics CenterStillwater, OK 74078-0001
Phone(425) 591-2804
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1104711563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in TX · 1377870
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
170 ATHLETICS CENTER, Stillwater, OK 74078
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAL GENE IVEN M.D.
Internal Medicine (Sports Medicine)
170 ATHLETICS CENTER, OSU SPORTSMEDICINE
STILLWATER, OK 74078
Payne County (405) 744-5430
OKLAHOMA STATE UNIVERSITY
Preferred Provider Organization
170 ATHLETICS CENTER
STILLWATER, OK 74078
Payne County (405) 744-5430
NICHOLAUS GOLDSTEIN ATC
Specialist/Technologist (Athletic Trainer)
170 ATHLETICS CENTER
STILLWATER, OK 74078
Payne County (970) 685-8839
MISS CECILIA ANN LANE ATC, LAT
Specialist/Technologist (Athletic Trainer)
170 ATHLETICS CENTER
STILLWATER, OK 74078
Payne County (316) 648-8941
LINDSEY MERRYMAN PT, DPT, SCS, AT
Physical Therapist
170 ATHLETICS CENTER
STILLWATER, OK 74078
Payne County (405) 744-2112
KEELY ELIZABETH RATCLIFF
Physician Assistant
170 ATHLETICS CENTER
STILLWATER, OK 74078
Payne County (405) 744-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack O'neil's NPI number?

The NPI number for Jack O'neil is 1104711563. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jack O'neil located?

Jack O'neil practices at 170 Athletics Center, Stillwater, OK 74078. The listed phone number is (425) 591-2804.

What is Jack O'neil's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Jack O'neil was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.