Individual provider Active NPI

Sharon E O'Neill, PTA

  • Physical Therapy Assistant
  • Post Falls, ID
National Provider Identifier
1063933752
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-5182 Issued in ID
Practice address
1590 E Polston Ave Ste B
Post Falls, ID 83854-5218
Phone
(208) 777-4242
Fax
(208) 777-4020
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-5182 ID Primary

Addresses

Primary practice location

1590 E Polston Ave Ste B
Post Falls, ID 83854-5218

Mailing address

1590 E Polston Ave Ste B
Post Falls, ID 83854-5218
Phone (509) 863-4346

Other practice location 1

1590 E Polston Ave Ste B
Post Falls, ID 83854-5218
Phone (208) 777-4242

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
PTA-5182IDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation Associates, PLLC Past Accepting new patients
Pinnacle Physical Therapy and Sports Medicine, Inc PastSince Apr 1, 2007 Accepting new patients

Organizations & group practices 2

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063933752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "509-863-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 E Polston Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545218",
            "country_code": "US",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-5182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.