Active NPI
Amanda Catherine Shockey, PT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1831154152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3664
- Practice address
- 1600 N Phillips Ave
Oklahoma City, OK 73104-4619 - Phone
- (405) 271-8001
- Fax
- (405) 271-1707
- NPI assigned
- Apr 19, 2006
- 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 | 3664 | OK | Primary |
Addresses
Primary practice location
1600 N Phillips Ave
Oklahoma City, OK 73104-4619
Mailing address
1600 N Phillips Ave
Oklahoma City, OK 73104-4619
Phone (405) 271-8001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1831154152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N PHILLIPS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044619",
"telephone_number": "405-271-8001",
"fax_number": "405-271-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N PHILLIPS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044619",
"telephone_number": "405-271-8001",
"fax_number": "405-271-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKEY",
"first_name": "AMANDA",
"middle_name": "CATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3664",
"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 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.