Active NPI
Sharmarie Street, PTA
- Physical Therapy Assistant
- Surprise, AZ
National Provider Identifier
1114618147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-014193
- Practice address
- 11340 W Bell Rd
Surprise, AZ 85378-9342 - Phone
- (623) 469-9482
- NPI assigned
- May 19, 2023
- 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 Therapy Assistant | 225200000X | PTA-014193 | AZ | Primary |
Addresses
Primary practice location
11340 W Bell Rd
Surprise, AZ 85378-9342
Mailing address
6340 W Golden LN
Glendale, AZ 85302-4433
Phone (602) 281-5420
Other practice location 1
1617 S 67th Ave
Phoenix, AZ 85043-7717
Phone (623) 707-4500
Other practice location 2
6707 W Van Buren St
Phoenix, AZ 85043-3309
Phone (623) 707-2500
Other practice location 3
3850 S 79th Ave
Phoenix, AZ 85043-7504
Phone (623) 707-2300
Other practice location 4
7250 W Lower Buckeye Rd
Phoenix, AZ 85043-7503
Phone (623) 707-1100
Other practice location 5
8150 W Durango St
Phoenix, AZ 85043-5465
Phone (623) 707-2000
Other practice location 6
6250 W Durango St
Phoenix, AZ 85043-6580
Phone (623) 707-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-014193 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1114618147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6340 W GOLDEN LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024433",
"telephone_number": "602-281-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789342",
"telephone_number": "623-469-9482"
}
],
"practiceLocations": [
{
"address_1": "1617 S 67th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850437717",
"country_code": "US",
"telephone_number": "623-707-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6707 W Van Buren St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850433309",
"country_code": "US",
"telephone_number": "623-707-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3850 S 79th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850437504",
"country_code": "US",
"telephone_number": "623-707-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7250 W Lower Buckeye Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850437503",
"country_code": "US",
"telephone_number": "623-707-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8150 W Durango St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850435465",
"country_code": "US",
"telephone_number": "623-707-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6250 W Durango St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850436580",
"country_code": "US",
"telephone_number": "623-707-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STREET",
"first_name": "SHARMARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-014193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.