Active NPI
Karen Shomaker, P.T.
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1558607788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2610
- Practice address
- 4812 E 33Rd St
Tulsa, OK 74135-2038 - Phone
- (918) 622-4126
- NPI assigned
- Dec 16, 2012
- Last updated
- Nov 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2610 | OK | Primary |
| Physical Therapist | 225100000X | 1137974 | TX |
Addresses
Primary practice location
4812 E 33Rd St
Tulsa, OK 74135-2038
Mailing address
1111 E 36TH PL
Tulsa, OK 74105-3101
Phone (918) 408-0003
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 | OK | MD | Professional Counselor |
| 1137974 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1558607788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E 36TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741053101",
"telephone_number": "918-408-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 E 33RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352038",
"telephone_number": "918-622-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOMAKER",
"first_name": "KAREN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-16",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2610",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1137974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.