Individual provider Active NPI

Ryan Sharrow, PT

  • Physical Therapist
  • Duluth, MN
National Provider Identifier
1114291077
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7387 Issued in MN
Practice address
925 E Superior St Ste 104
Duluth, MN 55802-2253
Phone
(218) 723-8999
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7387 MN Primary
Physical Therapist 225100000X 10960-24 WI

Addresses

Primary practice location

925 E Superior St Ste 104
Duluth, MN 55802-2253

Mailing address

925 E Superior St Ste 104
Duluth, MN 55802-2253
Phone (218) 723-8999

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
7387MNMDPhysical Therapist
10960-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Certified Healthcare Corp. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1114291077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 104",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-723-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 104",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-723-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARROW",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7387",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10960-24",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.