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

Shawn M Smith, PT

Individual provider Physical Therapist · NPI 1902967698

Shawn M Smith, PT is a Physical Therapist in Private Practice in Moore, Oklahoma. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
29
Licensed in
OK
In the registry since
2006
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

1700 S Broadway St Ste B
Moore, OK 73160-5300
Phone: (405) 735-8777
Fax: (405) 735-8778
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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 PT3210 (OK)

Record details

NPI number1902967698
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESMay 22, 2018
Mailing address336 Ne 145th Pl, Edmond, OK 73013-2152

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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