Shelby Thomas, DPT
Individual provider Active NPI Physical Therapist · Thomas, OK
NPI 1982144101 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1982144101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5423 (OK)
- Practice address
- 104 N Main Street
Thomas, OK 73669 - Phone
- (580) 661-3517
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5423 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Connection PLLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5423 | OK | Yes |
Addresses
Primary practice location
104 N Main Street
Thomas, OK 73669
Mailing address
1409 NW 17TH St Apt 1/2
Oklahoma City, OK 73106-4283
Phone (303) 518-2787
Other providers in Thomas, OK
- Abbie Marie Stork
- Karsyn Terrell
- Thomas Drug Inc
- Thomas Health and Rehabilitation LLC
- Melissa Thomas
- Kara Wall
- Brooke Nicole Ward
- Miranda Woodard
- Meghan Zoschke
All providers in Thomas, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.