Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ANDREA GRACE WILLIFORD PT, DPT
NPI 1770136954
Physical Therapist in Tulsa, OK

Active since July 17, 2019
1120 S UTICA AVE, TULSA, OK 74104(918) 579-7100 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Jan 12, 2021, Jul 17, 2019 (3 updates tracked since 2019).

About Mrs. Andrea Grace Williford Pt, Dpt NPPES

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

MRS. ANDREA GRACE WILLIFORD PT, DPT (NPI 1770136954) is an individual physical therapist in Tulsa, Oklahoma, licensed in Oklahoma (5230) and active in the NPI registry since July 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770136954
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. ANDREA GRACE WILLIFORDCredential: PT, DPT
Location Address1120 S UTICA AVETulsa, OK 74104-4090
Mailing Address1120 S Utica AveTulsa, OK 74104-4090 · (918) 579-7100
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1770136954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in OK · 5230
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1120 S UTICA AVE, Tulsa, OK 74104

Other Names 1

Former Name (1)Andrea Grace Gross Pt, Dpt

Secondary Practice Locations 2

Location 13202 S Memorial Dr Ste 9Tulsa, OK 74145-1323 · Phone (918) 280-0180 · Fax (918) 280-0170
Location 2240 S Adams StJenks, OK 74037-2573 · Phone (918) 409-0157

Other Identifiers 1

Other15057148Caqh

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Grace Williford Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrea Williford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3202 S MEMORIAL DR STE 9
Tulsa, OK 74145
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104

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 Andrea Williford's NPI number?

The NPI number for Andrea Williford is 1770136954. It was assigned to this individual provider in the NPPES registry on July 17, 2019. The provider is also known as Andrea Grace Gross Pt, Dpt.

Where is Andrea Williford located?

Andrea Williford practices at 1120 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 579-7100.

What is Andrea Williford's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Andrea Williford enrolled in Medicare?

Yes. Andrea Williford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Williford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Williford reassigns Medicare benefits to Mattyg LLC (Tulsa, OK). The 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 Andrea Williford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Williford accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Andrea Williford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Williford was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.