Shannon Marie Vogt, MPT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104056 Issued in KS

Practice address

444 Four States Dr
Ste 1
Galena, KS 66379-4325

Phone

(620) 783-4441

Fax

(620) 783-4090

NPI assigned

May 17, 2007

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shannon Marie Atnip Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic Specialists of the Four States LLC

  dba Ortho4States DME

  • Durable Medical Equipment & Medical Supplies
  • Pittsburg, KS
  • NPI 1467799106
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1821205907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032546",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "STE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "663794325",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104056",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "115001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ATNIP",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mariah Dawn Stone, PTA
• Kurt M Stork, PT
• Rhonda Stork, PT
• Three Amigos Apothecary LLC (Four States Pharmacy)
• Paul W Toma, DO
• Terry L Vogt, PA
• Linda L Vonwedell, FNP
• Keanon Walker, CRNA
• Allan Paul Weston, M.D.
• Brynna Williams

• Physical Therapist in Galena, KS
• Providers in Galena, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.