Sharon L Legrow, PTA
Individual provider Active NPI Physical Therapy Assistant · Leesburg, FL
NPI 1083870786 · NPPES record last updated Aug 1, 2008
Key facts
- NPI
- 1083870786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 18398 (FL)
- Practice address
- 600 W North Blvd
Suite D
Leesburg, FL 34748-5063 - Phone
- (352) 787-9300
- Fax
- (352) 787-4522
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 18398 | FL | MD | Physical Therapy Assistant |
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 18398 | FL | Yes |
Addresses
Primary practice location
600 W North Blvd
Suite D
Leesburg, FL 34748-5063
Mailing address
600 W North Blvd
Suite D
Leesburg, FL 34748-5063
Phone (352) 787-9300
Other providers in Leesburg, FL
- Leesburg Regional Medical Center, Inc.
- Leesburg Regional Medical Center, Inc.
- Leesburg Rehabilitation Specialists
- Leesburg Smiles
- Leesburg SNF LLC
- Thomas Keller Leonard
- Walter Y Leuzinger
- Jilisa Levak
- Level-Up Aprn, PLLC
- Michael S Levine
All providers in Leesburg, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.