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

Phone

(844) 405-2721

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Shawn Smith, PTNPI 1902967698

Title

President

Phone

(844) 405-2721

Specialties & licenses 1

Addresses

Other names 1

• ARC Athletic Recovery & Rehabilitation Doing business as

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

  • Physical Therapist
  • Edmond, OK
  • NPI 1225651649
  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.

• Shawn M Smith, PT

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

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1356879753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 KENT DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202229"
        },
        {
            "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": "73013",
            "telephone_number": "844-405-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN SMITH OPTIMAL PT AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-405-2721",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Athletic Recovery & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARC Athletic Recovery & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanna Marie Shaw, MD
• Tina Zell Shaw
• Tra'Vant'E Keagon Shaw
• Shawn a Khavari, PLLC
• Shawn Smith Optimal PT and Performance, PLLC
• Taylor Ann Shed
• Carol Virginia Sheldon, M.D.
• Shelby Sheldon
• Andrew P Shelton
• Barbara Jean Shelton, M.ED

• 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 May 30, 2017; 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.