Individual provider Active NPI

Shannon Allison Ratermann, PT

  • Physical Therapist
  • Grove, OK
National Provider Identifier
1356437438
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3886 Issued in OK
Practice address
1200 S Shundi
Grove, OK 74344-1014
Phone
(918) 353-2309
Fax
(918) 787-7889
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3886 OK Primary
Physical Therapist 225100000X 3705 KS

Addresses

Primary practice location

1200 S Shundi
Grove, OK 74344-1014

Mailing address

PO Box 450517
Grove, OK 74345-0517
Phone (918) 353-2309

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

LicenseStateTypeSpecialty
3705KSMDPhysical Therapist
3886OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1356437438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450517",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450517",
            "telephone_number": "918-353-2309",
            "fax_number": "918-787-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S SHUNDI",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743441014",
            "telephone_number": "918-353-2309",
            "fax_number": "918-787-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATERMANN",
        "first_name": "SHANNON",
        "middle_name": "ALLISON",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3886",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "3705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.