Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawnee Physical Therapy PC

Organization Physical Therapy Clinic/Center · NPI 1043405475

Shawnee Physical Therapy PC is a Physical Therapy Clinic/Center in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 N Kickapoo Ave
Shawnee, OK 74801-5729
Phone: (405) 878-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT1924 (OK)

Record details

NPI number1043405475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Tanner — Pt/Owner · (405) 878-8686
NPI enumeratedSeptember 10, 2007
Last updated in NPPESApril 24, 2012
Mailing address909 N Kickapoo Ave, Shawnee, OK 74801-5729

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