Active NPI
Shelbie Nichole Corwin, MT
- Massage Therapist
- Stilwell, OK
National Provider Identifier
1720895337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 201 S 2ND St
Stilwell, OK 74960-3838 - Phone
- (918) 696-7220
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | OK | Primary |
Addresses
Primary practice location
201 S 2ND St
Stilwell, OK 74960-3838
Mailing address
468597 E 850 Rd
Stilwell, OK 74960-3167
Phone (620) 204-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407802986 | Medicaid | OK |
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)
- Not enrolled
- Credentials
- Medical Technician
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Late Night Chiropractic PLLC | Current | Accepting new patients |
Locations
201 S 2nd St
Stilwell, OK 74960
Phone (918) 575-1151
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 and National Provider Directory roles.
-
- Chiropractor
- Stilwell, OK
- NPI 1407802986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1720895337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468597 E 850 RD",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603167",
"telephone_number": "620-204-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 2ND ST",
"city": "STILWELL",
"state": "OK",
"postal_code": "749603838",
"telephone_number": "918-696-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "SHELBIE",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407802986",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stilwell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.