Sharon Fung-Corrill, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA013013 Issued in OH

Practice address

5323 Hendron Rd
Groveport, OH 43125-1055

Phone

(614) 836-2349

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Sharon Hays Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1144918863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 JENNYANN WAY",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108636",
            "telephone_number": "740-584-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-836-2349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Gemini Pl",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432407002",
            "country_code": "US",
            "telephone_number": "614-987-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNG-CORRILL",
        "first_name": "SHARON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09315926",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HAYS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Evans, PRRS
• Daniel Fall
• Macy Fausnaugh
• Alex Figueiredo
• Abrianna Fitch-Quin
• Fussell & Holt, Inc.
• Michael James Gacnik, LPCC
• Justina Gaines
• Haleigh Gallagher, MA, CCC-SLP
• Sacheen N Garrison, D.D.S.

• Physical Therapy Assistant in Groveport, OH
• Providers in Groveport, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.