Individual provider Active NPI

Shelly B. Dugger, DPT

  • Physical Therapist
  • Owasso, OK
National Provider Identifier
1992823652
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3676 Issued in OK
Practice address
13720 E 86TH St N
Owasso, OK 74055-8704
Phone
(918) 609-8088
Fax
(918) 609-8089
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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 3676 OK Primary

Addresses

Primary practice location

13720 E 86TH St N
Owasso, OK 74055-8704

Mailing address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 927-3226

Other practice location 1

2488 E 81st St Ste 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

Other identifiers 1

IdentifierTypeStateIssuer
200686480AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000651 OK Practitioner - Physical Therapist in Private Practice 0941584585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

2488 E 81St St
Suite 290
Tulsa, OK 74137-4265
Phone (918) 494-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3676OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Advanced Orthopedics of Oklahoma PLLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Rheumatology & Osteoporosis Institute of Oklahoma LLC PastSince Apr 4, 2016 Accepting new patients
Group Practice Associates, Inc. Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2560 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 994-7864

205 E B St
Jenks, OK 74037
Phone (918) 299-4411

314 E 5th Ave
Ste 103
Owasso, OK 74055
Phone (918) 494-2665

1355 W Rogers Blvd
Ste 10
Skiatook, OK 74070
Phone (918) 396-7125

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665

6585 S Yale Ave
Ste 200
Tulsa, OK 74136
Phone (918) 481-2767

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

Organizations & group practices 7

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1992823652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-927-3226",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-609-8088",
            "fax_number": "918-609-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2488 E 81st St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374265",
            "country_code": "US",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "SHELLY",
        "middle_name": "B.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200686480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.