Jared William Bourne, PT
Physical Therapist · Shawnee, OK
Jared William Bourne, PT is a physical therapist with a practice address in Shawnee, Oklahoma, and NPI 1548694995, issued on Aug 21, 2013. Check the license (Oklahoma 4719, as entered in NPPES) with the Oklahoma board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jared William Bourne
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 4719 OK
Self-reported in NPPES; status is on the state search - Practice location
- 3315 Kethley RD, Shawnee, OK 74804
- Phone
- (405) 273-5801
- Enumerated
- Aug 21, 2013
- Record last updated
- Aug 21, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (405) 878-3814
- Medicare enrollment
- Enrolled (PECOS I20150107000324); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3315 Kethley RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shivendra Bansal, M.D.Family Medicine Physician1144679952
- Tyler Barton, PTAPhysical Therapy Assistant1528651049
- Jacob Borgsmiller, DOFamily Medicine Physician1629518295
- Machaille Borgsmiller, D.O.Family Medicine Physician1609308881
- Courtney Brady, PTPhysical Therapist1871084863
- Michael Butcher, M.D.Internal Medicine Physician1134168610
Verify Jared William Bourne in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oklahoma board licenses this profession
Search for license 4719Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ptms 3.0 LLCDurant, OK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
45 physical therapist records list a practice address in Shawnee
They are 45 of the 1,175 NPPES records with a practice address in Shawnee, and 2,320 physical therapist records in Oklahoma.
All 45 in Shawnee → All 2,320 in Oklahoma → Every provider in Shawnee →
Other physical therapist records in Oklahoma
- Hannah Abad, PTStillwater, OK1225653579
- Suzan Abeyta, RPTTalihina, OK1861672743
- Devaughn Abram, PTEdmond, OK1184400343
- Martha Acker, PT, DPTTulsa, OK1720878523
- Charles AdamsTulsa, OK1295693646
- Kathryn Adams, PT, DPTTulsa, OK1477266781
- Micah Adams, DPTOklahoma City, OK1689042061
- Derek Adcox, PTEdmond, OK1205385200
- Dawn AddisonOklahoma City, OK1487863502
- Ryan Ade, P.T., A.T.C.Frederick, OK1639373574
Common questions
What is Jared William Bourne, PT's NPI number?
Jared William Bourne, PT's National Provider Identifier (NPI) is 1548694995, issued on Aug 21, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Jared William Bourne, PT located?
The NPPES record lists a practice address at 3315 Kethley RD, Shawnee, OK, 74804. Phone: (405) 273-5801. Providers update this record themselves, so call before visiting.
How can I verify Jared William Bourne, PT's license?
NPPES lists Oklahoma license number 4719, as entered by the provider. Search the Oklahoma board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.