NPIMap

Individual provider Active NPI

Sharon O'Donnell Goldberg, PT

  • Physical Therapist
  • Ft Worth, TX
National Provider Identifier
1043596539
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1041804 Issued in TX
Practice address
6116 Oakbend TRL
Ste 100
Ft Worth, TX 76132-3925
Phone
(817) 336-8293
Fax
(817) 336-9017
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1041804 TX Primary

Addresses

Primary practice location

6116 Oakbend TRL
Ste 100
Ft Worth, TX 76132-3925

Mailing address

6116 Oakbend TRL
Ste 100
Ft Worth, TX 76132-3925
Phone (817) 336-8293

Other names 1

  • Sharon Anne O'Donnell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1041804TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1043596539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "address_2": "STE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-336-8293",
            "fax_number": "817-336-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "address_2": "STE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-336-8293",
            "fax_number": "817-336-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SHARON",
        "middle_name": "O'DONNELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1041804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "O'DONNELL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.