Active NPI
Sharon D Purkis, PT
- Physical Therapist
- Muskegon, MI
National Provider Identifier
1144897091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017464
- Practice address
- Roosevelt Park Nursing
1300 W Broadway Ave
Muskegon, MI 49441 - Phone
- (231) 755-2221
- NPI assigned
- Jun 9, 2021
- Last updated
- Jun 9, 2021
- 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 Therapist | 225100000X | 5501017464 | MI | Primary |
Addresses
Primary practice location
Roosevelt Park Nursing
1300 W Broadway Ave
Muskegon, MI 49441
Mailing address
13411 Greenbriar Dr
Grand Haven, MI 49417-9153
Phone (123) 172-6071
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 |
|---|---|---|---|
| 5501017464 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1144897091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13411 GREENBRIAR DR",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494179153",
"telephone_number": "123-172-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROOSEVELT PARK NURSING",
"address_2": "1300 W BROADWAY AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49441",
"telephone_number": "231-755-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURKIS",
"first_name": "SHARON",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.