Individual provider Active NPI

Sharon C. a. Ruprecht-Brown, LPTA

  • Physical Therapy Assistant
  • Spotsylvania, VA
National Provider Identifier
1093959918
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306001190 Issued in VA
Practice address
6711 Autumn Wood Dr
Spotsylvania, VA 22553-1861
Phone
(540) 322-7872
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 2306001190 VA Primary

Addresses

Primary practice location

6711 Autumn Wood Dr
Spotsylvania, VA 22553-1861

Mailing address

6711 Autumn Wood Dr
Spotsylvania, VA 22553-1861
Phone (540) 322-7872

Other identifiers 1

IdentifierTypeStateIssuer
2306001190OtherVAPHYSICAL THERAPIST ASSISTANT

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
2306001190VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1093959918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 AUTUMN WOOD DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531861",
            "telephone_number": "540-322-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 AUTUMN WOOD DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531861",
            "telephone_number": "540-322-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPRECHT-BROWN",
        "first_name": "SHARON",
        "middle_name": "C. A.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSISTANT",
            "identifier": "2306001190",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.