Active NPI
Shelby Allen, COTA
- Specialist
- Lawton, OK
National Provider Identifier
1366036261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1958
- Practice address
- 1001 SW a Ave
Lawton, OK 73501-3951 - Phone
- (580) 353-8900
- Fax
- (580) 353-8903
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1958 | OK | Primary |
Addresses
Primary practice location
1001 SW a Ave
Lawton, OK 73501-3951
Mailing address
1001 SW a Ave
Lawton, OK 73501-3951
Phone (580) 353-8900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1958 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Days Sunshine Center Inc | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1366036261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW A AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013951",
"telephone_number": "580-353-8900",
"fax_number": "580-353-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW A AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013951",
"telephone_number": "580-353-8900",
"fax_number": "580-353-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SHELBY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "1958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.