Shawn M Smith, PT | |
1700 S Broadway St, Ste B, Moore, OK 73160-5300 | |
(405) 735-8777 | |
(405) 735-8778 |
Full Name | Shawn M Smith |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 1700 S Broadway St, Moore, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902967698 | NPI | - | NPPES |
OKAAA0373 | Other | OK | MEDICARE, PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT3210 (Oklahoma) | Primary |
Provider Name | Shawn Smith Optimal Pt And Performance Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225651649 PECOS PAC ID: 4385066638 Enrollment ID: O20200616002512 |
Mailing Address | Practice Location Address |
---|---|
Shawn M Smith, PT 336 Ne 145th Pl, Edmond, OK 73013-2152 Ph: (405) 286-4469 | Shawn M Smith, PT 1700 S Broadway St, Ste B, Moore, OK 73160-5300 Ph: (405) 735-8777 |
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