Active NPI
Sharon A Titter, MPT
- Physical Therapist
- Sullivan, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 116085
- Practice address
- 107 Progress Dr
Sullivan, MO 63080 - Phone
- (573) 860-5901
- Fax
- (573) 860-5903
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 12, 2016
- 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 | 116085 | MO | Primary |
Addresses
Primary practice location
107 Progress Dr
Sullivan, MO 63080
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2018 Phoenix Ctr Dr
Washington, MO 63090-5544
Phone (636) 283-2185
21 Silo Dr
Union, MO 63084-4917
Phone (636) 649-4131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
118 Richardson Xing
Arnold, MO 63010
Phone (636) 206-4146
11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205
179 Eureka Towne Center Dr
Eureka, MO 63025
Phone (636) 206-6725
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222
21 Silo Dr
Union, MO 63084
Phone (636) 649-4131
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Interoperability endpoints
- sharon.titter.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- O'Fallon, MO
- NPI 1003280421
Physical Therapist
-
dba Axes Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1083724116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PROGRESS DR",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "63080",
"telephone_number": "573-860-5901",
"fax_number": "573-860-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITTER",
"first_name": "SHARON",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "116085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, MO
- Sandra Rachele Sumner, RDH
- Dawn Elizabeth Tallent, MA CCC-SLP
- Team Diagnostics LLC (Sullivan Open MRI)
- Thera-Peds, LLC
- Matthew J Tiefenbrunn, M.D.
- Amy E Torres, AGACNP-BC
- Megan S Turnbough, FNP
- United Seating and Mobility LLC (Numotion)
- Shanek F Vaccianna-Noe, FNP
- Victorian Manor of Sullivan (Victorian Manor of Oak Grove/Sullivan)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.