Active NPI
Shannon Marie Seeley, MSPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1497841712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1734
- Practice address
- 9109 Blondo
Omaha, NE 68134 - Phone
- (402) 399-9993
- Fax
- (402) 778-9739
- NPI assigned
- Oct 5, 2006
- 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 | 1734 | NE | Primary |
Addresses
Primary practice location
9109 Blondo
Omaha, NE 68134
Mailing address
9109 Blondo
Omaha, NE 68134
Phone (402) 399-9993
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1734 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1497841712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 BLONDO",
"city": "OMAHA",
"state": "NE",
"postal_code": "68134",
"telephone_number": "402-399-9993",
"fax_number": "402-778-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9109 BLONDO",
"city": "OMAHA",
"state": "NE",
"postal_code": "68134",
"telephone_number": "402-399-9993",
"fax_number": "402-778-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELEY",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.