Sharen N Cheathon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40730 Issued in CA

Practice address

2401 W Turner Rd
Suite 250
Lodi, CA 95242-2182

Phone

(209) 334-2224

Fax

(209) 334-2225

NPI assigned

Dec 9, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1003247644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W TURNER RD",
            "address_2": "SUITE 250",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422182",
            "telephone_number": "209-334-2224",
            "fax_number": "209-334-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHON",
        "first_name": "SHAREN",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddique Chaudhary
• Brittney Marie Chaves, PT
• Angelina Marie Chavez-Haggland
• Crystal Estela Chavez
• Darla Marie Chayrez
• Andrew Philip Chen, M.D.
• Eric Chen, DPT
• Frank F Chen, DDS
• George D Chen, M.D.
• Xinchen Chen

• Physical Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.