Shaelyn Sharbutt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6143 Issued in OK

Practice address

1210 McGee Dr
Norman, OK 73072-5846

Phone

(580) 551-9851

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Shaelyn Vaughn Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• RCVR Performance Clinic

  • Physical Therapy Clinic/Center
  • Norman, OK
  • NPI 1962351130
  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1841911955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WOODS AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697470",
            "telephone_number": "580-551-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MCGEE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725846",
            "telephone_number": "580-551-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731034609",
            "country_code": "US",
            "telephone_number": "580-551-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARBUTT",
        "first_name": "SHAELYN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "6143",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PTEverywhere.com",
            "affiliation": "N",
            "address_1": "1501 N Broadway Ave",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731034609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAELYN",
            "last_name": "VAUGHN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tooba Shakeel
• Shane E Stidham, MD, PLLC
• Shannon Dukes, LPC, PLLC
• Timothy Michael Shannon, D.D.S., M.S
• Tyler Shannon
• Rudra Partap Sharma, MD
• Billy Joe Sharp Jr., PH.D.
• Danny Sharp
• Kevin Sharp
• Brooke Elizabeth Shattuck, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.