Individual provider Active NPI

Teri Michele Shahan, RPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1639499635
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2690 Issued in OK
Practice address
4013 NW Expressway
Suite 120
Oklahoma City, OK 73116-2610
Phone
(405) 507-0110
Fax
(405) 507-0111
NPI assigned
Jun 2, 2010
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2690 OK Primary

Addresses

Primary practice location

4013 NW Expressway
Suite 120
Oklahoma City, OK 73116-2610

Mailing address

4013 NW Expressway
Suite 120
Oklahoma City, OK 73116-2610
Phone (405) 507-0110

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shahan Therapy Center PC Physical Therapist PastSince Apr 23, 2008 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1639499635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 NW EXPRESSWAY",
            "address_2": "SUITE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162610",
            "telephone_number": "405-507-0110",
            "fax_number": "405-507-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 NW EXPRESSWAY",
            "address_2": "SUITE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162610",
            "telephone_number": "405-507-0110",
            "fax_number": "405-507-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "TERI",
        "middle_name": "MICHELE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.