Active NPI
Shannon Lea Pogue, PT
- Physical Therapist
- Murfreesboro, TN
National Provider Identifier
1295299840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6549
- Practice address
- 610 E Clark Blvd
Murfreesboro, TN 37130-2121 - Phone
- (615) 849-8550
- Fax
- (615) 849-8447
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6549 | TN | Primary |
Addresses
Primary practice location
610 E Clark Blvd
Murfreesboro, TN 37130-2121
Mailing address
610 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 849-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1295299840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E CLARK BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302121",
"telephone_number": "615-849-8550",
"fax_number": "615-849-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E CLARK BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302121",
"telephone_number": "615-849-8550",
"fax_number": "615-849-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGUE",
"first_name": "SHANNON",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "6549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.