Active NPI
Sharon McDonald, COTA/L
- Prevention Professional
- North Royalton, OH
National Provider Identifier
1124564653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- OTA 04109
- Practice address
- 11841 Abbey Rd
North Royalton, OH 44133-2633 - Phone
- (440) 237-3112
- NPI assigned
- Jan 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | OTA 04109 | OH | Primary |
Addresses
Primary practice location
11841 Abbey Rd
North Royalton, OH 44133-2633
Mailing address
11841 Abbey Rd
North Royalton, OH 44133-2633
Phone (440) 237-3112
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 |
|---|---|---|---|
| OTA 04109 | OH | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health Care | 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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Richfield, OH
- NPI 1447574553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483833600000",
"number": "1124564653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11841 ABBEY RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441332633",
"telephone_number": "440-237-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11841 ABBEY RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441332633",
"telephone_number": "440-237-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-08",
"last_updated": "2017-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "OTA 04109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.