Shawn Smith Optimal PT and Performance, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHAWN SMITH OPTIMAL PT AND PERFORMANCE, PLLC

Practice address

336 NE 145TH PL
Edmond, OK 73013-2152

Phone

(405) 697-0860

Fax

(877) 561-7996

NPI assigned

May 20, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawn Smith, P.T.NPI 1902967698

Title

Physical Therapist / Owner

Phone

(405) 755-0663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Arc Athletic Recovery Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shawn Smith Optimal PT and Performance, PLLC

  dba ARC Athletic Recovery & Rehabilitation

  • Physical Therapist
  • Edmond, OK
  • NPI 1356879753
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn M Smith, PT

  • Physical Therapist
  • Moore, OK
  • NPI 1902967698
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1225651649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE 145TH PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132152",
            "telephone_number": "405-697-0860",
            "fax_number": "877-561-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 NE 145TH PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132152",
            "telephone_number": "405-697-0860",
            "fax_number": "877-561-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN SMITH OPTIMAL PT AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "405-755-0663",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogony Dajuan Shaw
• Tanna Marie Shaw, MD
• Tina Zell Shaw
• Tra'Vant'E Keagon Shaw
• Shawn a Khavari, PLLC
• Shawn Smith Optimal PT and Performance, PLLC (ARC Athletic Recovery & Rehabilitation)
• Taylor Ann Shed
• Carol Virginia Sheldon, M.D.
• Shelby Sheldon
• Andrew P Shelton

• Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.