Organization Active NPI

Butler Shahan Physical Therapy Services PLLC

  • Physical Therapy Clinic/Center
  • Sherman, TX
National Provider Identifier
1336147545
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
632540000 Issued in TX
Legal business name
BUTLER SHAHAN PHYSICAL THERAPY SERVICES PLLC
Practice address
19325 W US Highway 82
Sherman, TX 75092-6885
Phone
(903) 892-1333
Fax
(903) 893-9943
NPI assigned
Jul 12, 2005
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mr. Joe David Shahan, PTNPI 1902804115
Title
PT/Owner/
Phone
(903) 892-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 632540000 TX Primary

Addresses

Primary practice location

19325 W US Highway 82
Sherman, TX 75092-6885

Mailing address

19325 W US Highway 82
Sherman, TX 75092-6885
Phone (903) 892-1333

Other identifiers 1

IdentifierTypeStateIssuer
0813081-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

19325 W US Highway 82
Sherman, TX 75092
Phone (903) 357-4090

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1336147545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19325 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926885",
            "telephone_number": "903-892-1333",
            "fax_number": "903-893-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19325 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926885",
            "telephone_number": "903-892-1333",
            "fax_number": "903-893-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER SHAHAN PHYSICAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "SHAHAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PT/OWNER/",
        "authorized_official_telephone_number": "903-892-1333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "632540000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813081-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.