Kirstie Lea Shive, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2808 Issued in OK

Practice address

301 E Broadway St
Altus, OK 73521-5507

Phone

(580) 477-3305

Fax

(580) 477-2423

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386780690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N BROADWAY AVE",
            "address_2": "SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026039",
            "telephone_number": "405-609-3670",
            "fax_number": "405-605-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215507",
            "telephone_number": "580-477-3305",
            "fax_number": "580-477-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVE",
        "first_name": "KIRSTIE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Lynn Shaw, OTA
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• Carol Marie Sherman, DO
• Stanley Robert Sherman, D.O.
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• Tom H Shurley, M.D.
• Julianne Rodgers Shytle, PHARMD
• San Juanita Silva, FSP
• Ken Simmons

• All providers in Altus, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.