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

Individual provider Physical Therapist · NPI 1205929064

Shane Stovall, RPT is a Physical Therapist in Private Practice in Ardmore, Oklahoma. Qualified in 1998, 28 years ago. Practices with Summit Rehab LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
28
Licensed in
OK
In the registry since
2006
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Practice location Address checks out

1405 4th Ave NW # 296
Ardmore, OK 73401-2708
Phone: (580) 795-4768
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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 2905 (OK)

Record details

NPI number1205929064
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESSeptember 22, 2009
Mailing address1405 4th Ave Nw # 296, Ardmore, OK 73401-2708

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Summit Rehab Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ardmore