SHAWNEE PHYSICAL THERAPY PC (NPI# 1043405475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043405475 |
| Entity Type | Organization |
| Organization Name | SHAWNEE PHYSICAL THERAPY PC |
| Practice Address |
909 N Kickapoo Ave Shawnee OK 74801-5729 |
| Practice Telephone | 4058788686 |
| Mailing Telephone | 4058788686 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | REGINA S TANNER (PT/OWNER) |
| Authorized Official Telephone | 4058788686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT1924 | OK | Ambulatory Health Care Facilities |
| Street Address |
909 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639407992 | Lucas Aaron Tanner | Chiropractor | 909 N Kickapoo Ave, Shawnee, OK 74801-5729 | 2009-11-25 |
| 1598931594 | Kristi Kay Weldon | Physical Therapist | 909 N Kickapoo Ave, Shawnee, OK 74801-5729 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609267913 | Freedom Physical Therapy and Training Center Pa | Clinic/Center | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
| 1063774586 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 | 2012-06-11 |
| 1326188012 | Arc Therapy Services LLC | Clinic/Center | 12802 Johnson Dr, Shawnee, KS 66216-1645 | 2007-02-08 |
| 1932135449 | Us Pt Therapy Services Inc. | Clinic/Center | 16018 W 65th St, Shawnee, KS 66217-9302 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1417555699 | Turning Point Physical Therapy, Pllc | Clinic/Center | 913 Old Frisco Rd, Norman, OK 73069-6984 | 2020-10-11 |
| 1629684972 | Thera-brand Physical Therapy LLC | Clinic/Center | 24051 County Road 80, Perry, OK 73077-9214 | 2020-09-22 |
| 1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
| 1972151280 | Sooner Health Services Pt, LLC | Clinic/Center | 2401 Tee Cir Ste 207, Norman, OK 73069-6207 | 2019-08-29 |
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.