Shawn M Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3210 Issued in OK

Practice address

1700 S Broadway St
Ste B
Moore, OK 73160-5300

Phone

(405) 735-8777

Fax

(405) 735-8778

NPI assigned

Dec 13, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Shawn Smith Optimal PT and Performance, PLLC

  • Physical Therapist
  • Edmond, OK
  • NPI 1225651649
  Medicare reassignment NPD Authorized official
• Shawn Smith Optimal PT and Performance, PLLC

  • Physical Therapist
  • Edmond, OK
  • NPI 1356879753
  NPD Authorized official
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
  • NPI 1386605905
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1902967698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NE 145TH PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132152",
            "telephone_number": "405-286-4469",
            "fax_number": "405-242-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BROADWAY ST",
            "address_2": "STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605300",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT3210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "OKAAA0373",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Allan Smith, D.C.
• Jack Smith
• James Edmond Smith
• Mary J Smith
• Sally Smith, LADC
• Shelby Nicole Smith
• Sidnie Victoria Smith
• Tara Smith, HIS
• Tara A Smith, ED.S, LPC, NCSP
• Tori Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.