Individual provider Active NPI

Shelby Jordan Buoy

  • Physical Therapist
  • Shawnee, OK
National Provider Identifier
1831579291
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2506 N. Harrison
Shawnee, OK 74804-3131
Phone
(405) 214-0300
Fax
(405) 214-0301
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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 Primary

Addresses

Primary practice location

2506 N. Harrison
Shawnee, OK 74804-3131

Mailing address

PO Box 3675
Shawnee, OK 74802-3675
Phone (405) 214-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701001190 OK Practitioner - Physical Medicine and Rehabilitation 5698087849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

3400 S Douglas Blvd
Oklahoma City, OK 73150-1001
Phone (405) 272-2850

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
81.18
Promoting interoperability
93
Improvement activities
40
Cost
72.93

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Sep 12, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Saints Medical Group, LLC CurrentSince Sep 12, 2023 Accepting new patients

Locations

941 W I 35 Frontage Rd
Ste 132
Edmond, OK 73034
Phone (405) 227-9667

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Ste 452
Oklahoma City, OK 73116

3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000

2309 N Milt Phillips Ave
Ste B
Seminole, OK 74868
Phone (405) 214-0300

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1831579291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3675",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748023675",
            "telephone_number": "405-214-0300",
            "fax_number": "405-214-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N. HARRISON",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043131",
            "telephone_number": "405-214-0300",
            "fax_number": "405-214-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUOY",
        "first_name": "SHELBY",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.