Individual provider Active NPI

Shawn Christopher Mayes, P.T.

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1285610824
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3104 Issued in OK
Practice address
2234 W Houston St Ste B
Broken Arrow, OK 74012-3519
Phone
(918) 259-9522
Fax
(918) 251-3725
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3104 OK Primary

Addresses

Primary practice location

2234 W Houston St Ste B
Broken Arrow, OK 74012-3519

Mailing address

2424 E 21St St
Tulsa, OK 74114-1711
Phone (918) 743-9235

Other identifiers 1

IdentifierTypeStateIssuer
200242950AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
61.03
Promoting interoperability
99
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Apr 1, 2010 Accepting new patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Apr 1, 2010 Accepting new patients
Tulsa Bone & Joint Associates PC CurrentSince Jan 4, 2021 Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Locations

2234 W Houston St
Ste B
Broken Arrow, OK 74012
Phone (918) 259-1888

2232 W Houston St
Broken Arrow, OK 74012
Phone (918) 259-1888

2424 E 21st St
Ste 400
Tulsa, OK 74114
Phone (918) 743-9235

4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1285610824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141711",
            "telephone_number": "918-743-9235",
            "fax_number": "918-743-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-9522",
            "fax_number": "918-251-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "SHAWN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.