Individual provider Active NPI

S. Sharon Moline, PT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1053516468
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16169 Issued in MD
Practice address
810 Bestgate Rd Ste 220
Annapolis, MD 21401-3648
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 16169 MD Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 220
Annapolis, MD 21401-3648

Mailing address

13030 Forest Dr
Bowie, MD 20715-4344
Phone (301) 675-3760

Other practice location 1

13030 Forest Dr
Bowie, MD 20715-4344
Phone (301) 675-3760

Other names 1

  • Miss Saghi Sharon Sadeghian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080401000758 MD Practitioner - Physical Therapist in Private Practice 6800973835 Reassigns benefits to 2 organizations
Practice locations: Bowie, MD
I20080520000701 DC Practitioner - Physical Therapist in Private Practice 6800973835 Reassigns benefits to 1 organization
Practice locations: Annapolis, MD; Bowie, MD

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19851 Observation Dr
Suite 360
Germantown, MD 20876-4141
Phone (410) 571-2946

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16169MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Dec 4, 2023 Accepting new patients
Carefree Land Chiropractic, LLC CurrentSince Sep 1, 2020 Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

3201 Rogers Ave
Ste 102
Ellicott City, MD 21043
Phone (410) 480-2331

19851 Observation Dr
Ste 360
Germantown, MD 20876

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: saghi.moline.1@11679.direct.athenahealth.com

Organizations & group practices 6

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": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1053516468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 FOREST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154344",
            "telephone_number": "301-675-3760",
            "fax_number": "240-766-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 220",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13030 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154344",
            "country_code": "US",
            "telephone_number": "301-675-3760",
            "fax_number": "240-766-0568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "S.",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAGHI",
            "last_name": "SADEGHIAN",
            "middle_name": "SHARON",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.