Active NPI
Shakira Judeh, PT
- Physical Therapist
- Shawnee, OK
National Provider Identifier
1124446257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3482
- Practice address
- 1712 Hunters Ridge Dr
Shawnee, OK 74804-1835 - Phone
- (405) 275-1668
- Fax
- (405) 275-1668
- NPI assigned
- Apr 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3482 | OK | Primary |
Addresses
Primary practice location
1712 Hunters Ridge Dr
Shawnee, OK 74804-1835
Mailing address
1712 Hunters Ridge Dr
Shawnee, OK 74804-1835
Phone (405) 275-1668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3482 | OK | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396656000000",
"number": "1124446257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 HUNTERS RIDGE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041835",
"telephone_number": "405-275-1668",
"fax_number": "405-275-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 HUNTERS RIDGE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041835",
"telephone_number": "405-275-1668",
"fax_number": "405-275-1668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDEH",
"first_name": "SHAKIRA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-05",
"last_updated": "2014-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.