Active NPI
Step Guard, PLLC
- Physical Therapy Clinic/Center
- Broken Arrow, OK
National Provider Identifier
1407368160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4745
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shane Lee Casey, DPT
- Title
- Physical Therapist
- Phone
- (405) 808-8128
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Tulsa, OK
- NPI 1710413489
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.