BESPOKE PHYSICAL THERAPY LLC
NPI 1952139388
Clinic/Center - Physical Therapy in Broken Arrow, OK
About Bespoke Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BESPOKE PHYSICAL THERAPY LLC (NPI 1952139388) is a healthcare organization registered as a physical therapy in Broken Arrow, Oklahoma and active in the NPI registry since July 2024. The organization lists Nikolaus Prescott, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bespoke Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bespoke Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Bespoke Physical Therapy LLC's NPI number?
The NPI number for Bespoke Physical Therapy LLC is 1952139388. It was assigned to this organization in the NPPES registry on July 25, 2024.
Where is Bespoke Physical Therapy LLC located?
Bespoke Physical Therapy LLC is located at 4907 E Galveston Pl, Broken Arrow, OK 74014. The listed phone number is (918) 841-6257.
What is Bespoke Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Bespoke Physical Therapy LLC enrolled in Medicare?
Yes. Bespoke Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bespoke Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Bespoke Physical Therapy LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bespoke Physical Therapy LLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bespoke Physical Therapy Llc · NPI 1952139388
Physical Therapy organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since July 25, 2024.
## Identity
- **NPI:** 1952139388 (Entity type: Organization)
- **Enumerated:** July 25, 2024
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Nikolaus Prescott, OWNER
## Practice location
- **Address:** 4907 E GALVESTON PL, Broken Arrow, OK 74014-2342
- **Phone:** (918) 841-6257 · **Fax:** (539) 399-7520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (2), Physical Therapist in Private Practice (2), Qualified Speech Language Pathologist (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952139388) · Data from the CMS NPPES public registry.