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

Jared William Bourne, PT

Individual provider Physical Therapist · NPI 1548694995

Jared William Bourne, PT is a Physical Therapist in Private Practice in Shawnee, Oklahoma. Qualified in 2013, 13 years ago. Practices with Ptms 3.0 LLC, a 114-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
13
Licensed in
OK
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4719 (OK)

Record details

NPI number1548694995
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013
Mailing addressPo Box 849, Shawnee, OK 74802-0849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ptms 3.0 Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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