Nr Shawnee, LLC
NPI 1922861004 · Physical Medicine & Rehabilitation Physician · Shawnee, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nr Shawnee, LLC is a Physical Medicine & Rehabilitation Physician organization in Shawnee, OK (NPI 1922861004).
Provider details
- NPI number
- 1922861004
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Bales, Ceo(405) 953-7221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nerve Renewal Shawnee
- Doing business as
- Nerve Renewal Shawnee
Registry dates
- Enumerated
- 2024-02-01
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Nr Shawnee, LLC's NPI number?
- Nr Shawnee, LLC's National Provider Identifier (NPI) is 1922861004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nr Shawnee, LLC?
- Nr Shawnee, LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Nr Shawnee, LLC located?
- Nr Shawnee, LLC's practice location on file with NPPES is 3700 N Kickapoo Ave Ste 116, Shawnee, OK 74804-0007.
- What is Nr Shawnee, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nr Shawnee, LLC is (405) 551-8103.
- Does Nr Shawnee, LLC accept Medicare?
- Nr Shawnee, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nr Shawnee, LLC?
- The authorized official listed on Nr Shawnee, LLC's NPPES record is Timothy Bales, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nr Shawnee, LLC's NPI active?
- Yes — Nr Shawnee, LLC's NPI (1922861004) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.