Mrs Shanna Rae Gray, RPT | |
4010 Blaine Rd, Shawnee, OK 74804-1626 | |
(405) 833-2749 | |
Not Available |
Full Name | Mrs Shanna Rae Gray |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 4010 Blaine Rd, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750589081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | PT1801 (Oklahoma) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871249631 PECOS PAC ID: 4789602681 Enrollment ID: O20220414001805 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shanna Rae Gray, RPT 4010 Blaine Rd, Shawnee, OK 74804-1626 Ph: (405) 833-2749 | Mrs Shanna Rae Gray, RPT 4010 Blaine Rd, Shawnee, OK 74804-1626 Ph: (405) 833-2749 |
Mr. Joe Kent Whitt, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 N Beard St, Shawnee, OK 74804 Phone: 405-990-5961 Fax: 405-214-6299 | |
Laura Rachal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300 | |
Mr. Scott K. Howard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4901 N Kickapoo Ave Ste 1556, Shawnee, OK 74804 Phone: 405-214-9808 Fax: 405-214-9389 | |
Jennifer Leigh James, B.S., P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804 Phone: 405-609-3675 Fax: 800-506-3795 | |
Shakira Judeh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1712 Hunters Ridge Dr, Shawnee, OK 74804 Phone: 405-275-1668 Fax: 405-275-1668 | |
Breanna Rochelle Edenborough, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4651 N Harrison St, Shawnee, OK 74804 Phone: 405-214-1524 Fax: 405-395-5653 | |
Caitlyn Horn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300 Fax: 405-214-0301 |