Shannon Henry, PTA
NPI 1174108609ActiveIndividual· Physical Therapy Assistant· Sapulpa, OK
Physical Therapy Assistant (PTA) in Sapulpa, Oklahoma, licensed in OK, with an NPI issued in March 2021.
Overview
| NPI | 1174108609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Mar 16, 2021 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Mar 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2649 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Sapulpa
- 1407456700
- 1225677842
- 1619200433
- 1497163430
- 1396660460
- 1891142295
- 1972058196
- 1457153223
- 1356096580
- 1902495260
- 1508349432
- 1982072716