Shanna Deanne Vogt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6069 Issued in OK

Practice address

5110 S Yale Ave Ste 304
Tulsa, OK 74135-7482

Phone

(918) 398-7400

Fax

(918) 398-7440

NPI assigned

Nov 24, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Therapy Specialists, LLCGroup PAC ID 1759294689, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1033277413
  Medicare reassignment Care Compare group NPD
• Move by Design, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Tulsa, OK
  • NPI 1790673473

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
  • NPI 1942368329
  NPD

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1861159832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 304",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357482",
            "telephone_number": "918-398-7400",
            "fax_number": "918-398-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "SHANNA",
        "middle_name": "DEANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.exceltherapyok.com",
            "affiliation": "N",
            "endpointDescription": "Employer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5110 S Yale Ave Ste 304",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741357482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• R Bradley Vogel, DO
• Ryan Vogler
• Abbigale Vogt, PHARM. D.
• Jaime G Vogt, LPC
• Lara Lynn Vogt, RD
• Lacey Laurel Vogts, DO
• Patrick R Volak, M. D.
• Nancy Sue Volavka, PHD
• Kelly Jean Volk, DO
• Kylie Volk, DPT

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.