Shanna Lea Pogue, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

NE151 Issued in NE

Practice address

4330 S 144TH St
Omaha, NE 68137-1051

Phone

(402) 614-4000

Fax

(402) 885-6897

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1104485168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19156 W ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681354298",
            "telephone_number": "402-203-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 S 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371051",
            "telephone_number": "402-614-4000",
            "fax_number": "402-885-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGUE",
        "first_name": "SHANNA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "NE151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NE151",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Omaha@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "Secure company e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4330 S 144th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681371051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keli Poehling
• Hollin Dale Poehlman
• Michele Ann Poepping-Faulkner, PHARM.D.
• Jessica Poeschl
• Linsey Poferl
• Eiesha Nicole Pohl
• Stacy Pohl
• Jennifer Lyn Pohlmann Van Belle, OTR/L
• Savanna Marie Pohlmann
• Jennica Elaine Pohlmeier

• Physical Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.