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Mrs. Kelli Deanne Shaw, P.T.A.

Physical Therapy Assistant in Antlers, OK · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104059732

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Registry record

Entity type Individual (Type 1)
Name Mrs. Kelli Deanne Shaw
Credential P.T.A.
Sex Female
Practice address 402 W Main St, Antlers, OK, 74523
Fax (580) 298-9822
Enumeration date Aug 31, 2009
Last updated in NPPES Aug 31, 2009

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1095 (OK) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelli Shaw?
The National Provider Identifier (NPI) for Kelli Shaw is 1104059732, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelli Shaw practice?
The practice location on file with NPPES is in Antlers, OK. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-31.