MRS. SHANNA RAE GRAY (NPI# 1750589081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750589081 |
| Entity Type | Individual |
| Full Name | MRS. SHANNA RAE GRAY |
| Credential | RPT |
| Practice Address |
4010 Blaine Rd Shawnee OK 74804-1626 |
| Practice Telephone | 4058332749 |
| Mailing Telephone | 4058332749 |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT1801 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255537932 | Shanna Gray | Social Worker | 680 Centre St, Brockton, MA 02302-3308 | 2007-06-21 |
| Street Address |
4010 BLAINE RD |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076733 | Jane Frazier | Physical Therapist | 5831 Bethel Rd, Shawnee, OK 74804-0916 | 2015-10-20 |
| 1407262785 | Taylor'd Therapy Services, P.l.l.c. | Physical Therapist | 5831 Bethel Rd, Shawnee, OK 74804-0916 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630793 | Achieve Pediatric Physical Therapy | Physical Therapist | 2265 S Saint Louis Ave, Tulsa, OK 74114-1347 | 2020-08-17 |
| 1962029967 | Pediatric Physical Therapy of Bartlesville | Physical Therapist | 548 Se Washington Blvd, Bartlesville, OK 74006-8231 | 2020-06-25 |
| 1033754882 | Heather Williams | Physical Therapist | 117 W 5th St Ste 1, Bartlesville, OK 74003-6651 | 2019-11-14 |
| 1699179077 | Elizabeth Smith | Physical Therapist | 7686 Stone Valley Cir, Edmond, OK 73034-9564 | 2014-10-14 |
| 1154732915 | Kerry Mcclure, LLC | Physical Therapist | 2300 N Broadway St, Poteau, OK 74953-2009 | 2014-05-14 |
| 1427301852 | Guymon Public Schools | Physical Therapist | 801 N Beaver St, Guymon, OK 73942-3722 | 2012-10-23 |
| 1871878868 | Beverly K. Fentress | Physical Therapist | 6112 Winchester Dr, Oklahoma City, OK 73162-1719 | 2011-10-21 |
| 1487972469 | Mary B Pickett | Physical Therapist | 11309 Shady Glen Rd, Oklahoma City, OK 73162-3435 | 2010-05-14 |
| 1730373556 | Amanda Scott Caperton | Physical Therapist | 5505 E 107th St, Tulsa, OK 74137-7291 | 2007-09-05 |
| 1598962748 | Carla Dee Garling | Physical Therapist | 6295 E Robinson St, Norman, OK 73026-3523 | 2007-06-29 |
| 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.