Active NPI
Shanna J Paopao, PT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1902020605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1843
- Practice address
- 2504 S 119TH St
Omaha, NE 68144-2947 - Phone
- (402) 932-8686
- Fax
- (402) 932-8677
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1843 | NE | Primary |
Addresses
Primary practice location
2504 S 119TH St
Omaha, NE 68144-2947
Mailing address
3508 N 150TH Ave
Omaha, NE 68116-6183
Phone (402) 709-0803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131219001516 | NE | Practitioner - Physical Therapist in Private Practice | 7618104639 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2504 S
119TH
Omaha, NE 68144-2947
2504 S 119TH St
Omaha, NE 68144-2947
Phone (402) 932-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1843 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodywise Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
2504 S 119th St
Omaha, NE 68144
Phone (402) 932-8686
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1902020605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 N 150TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681166183",
"telephone_number": "402-709-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 S 119TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442947",
"telephone_number": "402-932-8686",
"fax_number": "402-932-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOPAO",
"first_name": "SHANNA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1843",
"primary": true
}
],
"identifiers": [],
"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 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.