Shannon Marie Vogt, MPT, CHT
Individual provider Active NPI Physical Therapist · Galena, KS
NPI 1821205907 · NPPES record last updated Aug 13, 2019
Key facts
- NPI
- 1821205907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1104056 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104056 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104056 | KS | Yes |
| Physical Therapist | 225100000X | 115001 | MO |
Addresses
Primary practice location
444 Four States Dr
Ste 1
Galena, KS 66379-4325
Mailing address
PO Box 2546
Joplin, MO 64803-2546
Phone (620) 783-4441
Other names
- Shannon Marie Atnip
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.