Active NPI
Shannon Rose Nealon, P.T.
- Physical Therapist
- Omaha, NE
National Provider Identifier
1740316132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2534
- Practice address
- 2953 S 168TH St
Suite 100
Omaha, NE 68130-2000 - Phone
- (402) 593-7345
- Fax
- (402) 593-0882
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2534 | NE | Primary |
Addresses
Primary practice location
2953 S 168TH St
Suite 100
Omaha, NE 68130-2000
Mailing address
2403 S 133Rd PLZ
Omaha, NE 68144-5905
Phone (402) 330-8433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00453826 | Other | NE | MEDIARE RR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Omaha, NE
- NPI 1306805981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1740316132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S 133RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445905",
"telephone_number": "402-330-8433",
"fax_number": "402-330-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2953 S 168TH ST",
"address_2": "SUITE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302000",
"telephone_number": "402-593-7345",
"fax_number": "402-593-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALON",
"first_name": "SHANNON",
"middle_name": "ROSE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIARE RR",
"identifier": "P00453826",
"state": "NE"
}
],
"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 Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.