Amanda Rose Pogue, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011025741 Issued in MO

Practice address

5327 Robert Ave
Saint Louis, MO 63109-4063

Phone

(314) 517-6879

NPI assigned

Sep 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1639450794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 ROBERT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631094063",
            "telephone_number": "314-517-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 ROBERT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631094063",
            "telephone_number": "314-517-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGUE",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011025741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Poeschl, PHARMD
• Matthew D Poeschl, M.D.
• Hannah Poetain, RN
• Tami Poettker, DPT
• Reid Wilke Poggemeier
• Brenda K Pogue, ANP
• Douglas H Pogue
• Sydney Pogue, OTR/L
• Jodie Rae Pohl
• Fred William Pohlman II, MD, MPH

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.