Individual provider Active NPI

Sharmarie Street, PTA

  • Physical Therapy Assistant
  • Surprise, AZ
National Provider Identifier
1114618147
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-014193 Issued in AZ
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

Updated by the provider on May 19, 2023

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 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

LicenseStateTypeSpecialty
PTA-014193AZMDPhysical 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.

Verify at the official NPI Registry.