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RESTORATION FOOT & ANKLE PLLC
NPI 1174705602
Podiatrist - Foot & Ankle Surgery in Broken Arrow, OK

Active since November 27, 2007
800 W BOISE CIR, SUITE 150, BROKEN ARROW, OK 74012(918) 274-1557(918) 274-8557 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Restoration Foot & Ankle Pllc NPPES

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

RESTORATION FOOT & ANKLE PLLC (NPI 1174705602) is a healthcare organization registered as a foot & ankle surgery in Broken Arrow, Oklahoma and active in the NPI registry since November 2007. The organization lists Bradley D Beasley, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1174705602
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameRESTORATION FOOT & ANKLE PLLC
Location Address800 W BOISE CIR, SUITE 150Broken Arrow, OK 74012-4906
Mailing AddressPo Box 3500, Dept No 618Claremore, OK 74018-3500 · (918) 274-1557 · Fax (918) 274-8557
Phone(918) 274-1557
Fax(918) 274-8557
Organization SubpartNo
Authorized OfficialBradley D BeasleyOwner/physician · (918) 274-1557
Enumeration DateNovember 27, 2007
Last NPPES UpdateOctober 8, 2014
✔ NPI 1174705602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OK · 232
800 W BOISE CIR, Broken Arrow, OK 74012
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU97219OK
Medicare NSC6087660001OK
Medicare PINOKB0009OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoration Foot & Ankle Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Restoration Foot & Ankle PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Bradley Beasley, DPM
Podiatry
NPI 1821102823
800 W BOISE CIR SUITE 150
Broken Arrow, OK 74012
(918) 274-1557
✔ PECOS✔ Accepts MedicareSame address
Shelley Hogue, DPM
Podiatry
NPI 1215197280
800 W BOISE CIR STE. 150
Broken Arrow, OK 74012
(918) 274-1557
✔ PECOS✔ Accepts MedicareSame address
Teri Baker, DPM
Podiatry
NPI 1215377718
7575 SAN FELIPE ST SUITE 301
Houston, TX 77063
(713) 974-4511
✔ PECOS✔ Accepts Medicare436 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restoration Foot & Ankle PLLC's NPI number?

The NPI number for Restoration Foot & Ankle PLLC is 1174705602. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Restoration Foot & Ankle PLLC located?

Restoration Foot & Ankle PLLC is located at 800 W Boise Cir Suite 150, Broken Arrow, OK 74012. The listed phone number is (918) 274-1557.

What is Restoration Foot & Ankle PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Restoration Foot & Ankle PLLC enrolled in Medicare?

Yes. Restoration Foot & Ankle PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restoration Foot & Ankle PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Restoration Foot & Ankle PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restoration Foot & Ankle PLLC was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.