NPIMap

Organization Active NPI

Step Guard, PLLC

  • Physical Therapy Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1407368160
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4745 Issued in OK
Legal business name
STEP GUARD, PLLC
Practice address
20208 E 37TH St S
Broken Arrow, OK 74014-1755
Phone
(405) 808-8128
NPI assigned
Nov 2, 2017
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Shane Lee Casey, DPTNPI 1487166351
Title
Physical Therapist
Phone
(405) 808-8128

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 4745 OK
Amputee Clinic/Center 261QA0900X 4745 OK
Physical Therapy Clinic/Center 261QP2000X 4745 OK Primary

Addresses

Primary practice location

20208 E 37TH St S
Broken Arrow, OK 74014-1755

Mailing address

20208 E 37TH St S
Broken Arrow, OK 74014-1755
Phone (405) 808-8128

National Provider Directory

National Provider Directory

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": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1407368160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20208 E 37TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141755",
            "telephone_number": "405-808-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20208 E 37TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740141755",
            "telephone_number": "405-808-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP GUARD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "405-808-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "4745",
            "primary": false
        },
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": "OK",
            "license": "4745",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OK",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.