Shari L Ealy, MMT
Individual provider Active NPI Occupational Therapy Assistant · Porter, IN
NPI 1124274758 · NPPES record last updated Jul 9, 2013
Key facts
- NPI
- 1124274758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32002449A (IN)
- Practice address
- 1040 Sievert St
Porter, IN 46304-1308 - Phone
- (517) 420-2550
- NPI assigned
- Aug 14, 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 |
|---|---|---|---|
| 057003828 | IL | MD | Occupational Therapy Assistant |
| 32002449A | IN | MD | Occupational Therapy Assistant |
| N/A | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | N/A | MI | |
| Occupational Therapy Assistant | 224Z00000X | 32002449A | IN | Yes |
| Occupational Therapy Assistant | 224Z00000X | 057003828 | IL |
Addresses
Primary practice location
1040 Sievert St
Porter, IN 46304-1308
Mailing address
1040 Sievert St
Porter, IN 46304-1308
Phone (517) 420-2550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32002449A | Other | IN | STATE OF INDIANA |
Other names
- Sharilynn E McGarey
Other providers in Porter, IN
- Adaptive Behavorial Counseling Resources
- Louise Albrecht-Mallinger
- Natalie Beare
- Mignon Debie-Kennedy
- Duneland Charter School Incorporated
- Health & Oncology Services, Inc
- John M Swangim DPM
- Tonia M Kitchel
- Justine Nicole Maresca
- Lorrie Martin
All providers in Porter, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2013. 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.