Active NPI
Shelby Kay Aranda, PT, DPT
- Physical Therapist
- Woodward, OK
National Provider Identifier
1760737639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4599
- Practice address
- 1125 40TH St
Suite D
Woodward, OK 73801-1733 - Phone
- (580) 256-2102
- Fax
- (580) 256-1410
- NPI assigned
- Jul 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4599 | OK | Primary |
Addresses
Primary practice location
1125 40TH St
Suite D
Woodward, OK 73801-1733
Mailing address
1125 40TH St
Suite D
Woodward, OK 73801-1733
Phone (580) 256-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200442400A | Medicaid | OK |
Other names 1
- Shelby Kay Latta
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 |
|---|---|---|---|
| 4599 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Specialists, Inc. | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Woodward, OK
- NPI 1811146111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1760737639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 40TH ST",
"address_2": "SUITE D",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738011733",
"telephone_number": "580-256-2102",
"fax_number": "580-256-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 40TH ST",
"address_2": "SUITE D",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738011733",
"telephone_number": "580-256-2102",
"fax_number": "580-256-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANDA",
"first_name": "SHELBY",
"middle_name": "KAY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200442400A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "LATTA",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.