Kristi Lee Shashack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6345 Issued in OK

Practice address

5025 Gaillardia Corporate PL Ste B1
Oklahoma City, OK 73142-1888

Phone

(405) 753-9064

NPI assigned

Sep 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristi Lee Henricksen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
  • NPI 1386605905
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)
• Southlake BNPT Investment LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1205468683

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1679855522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 GAILLARDIA CORPORATE PL STE B1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421888",
            "fax_number": "817-441-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 GAILLARDIA CORPORATE PL STE B1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421888",
            "telephone_number": "405-753-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHACK",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1179580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HENRICKSEN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvonne Sharp, MHR, BHRS
• Bruce Reed Sharpe
• David Sharrah, MD
• Shawna Marie Sharrar Chandler
• Matthew Sharum, M.D.
• Deyaaldeen Shatnawi, MD
• Brandon Shatto
• Michelle Shattuck
• Braidyn Nicole Shauer
• Annie Clare Shaver

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.