Shannon Gaye Keener

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1716 Issued in OK

Practice address

5321 S Sheridan Rd Ste 26a
Tulsa, OK 74145-7509

Phone

(918) 277-0988

NPI assigned

Feb 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1245824200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741457532",
            "telephone_number": "918-277-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 S SHERIDAN RD STE 26A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741457509",
            "telephone_number": "918-277-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "SHANNON",
        "middle_name": "GAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dropbox",
            "affiliation": "N",
            "address_1": "5321 S Sheridan Rd Ste 26A",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741457509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Susan Keenan
• Michael Patrick Keenan, D.D.S.
• Roberta Keenan, LPC, LMFT
• Gerald Keene
• Ashley Keener
• Keeney Chiropractic
• Keepin It Real With Tiffany Counseling Services LLC
• Brian Kees, M.S. INTERN
• Elizabeth Anne Keester, PT, DPT
• Kimberly D Keeter, LCSW

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.