Sharon Marie Eveningred, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000027 Issued in MI

Practice address

16301 19 Mile Rd
Clinton TWP, MI 48038-1104

Phone

(586) 263-2480

NPI assigned

Apr 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: seveningred9829@direct.hfhs.org

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1154900181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48675 AMERICAN ELM DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441429",
            "telephone_number": "586-263-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16301 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381104",
            "telephone_number": "586-263-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENINGRED",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Seveningred9829@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "16301 19 Mile Rd",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480381104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Christine Eriksen, M.A. CCC-SLP
• Layth Eskander
• Phyllis Anne Esposito, COTA/L
• Christina Marie Evans, MPT
• Kijuana Evans
• Michelle Ewald, LMSW
• Tricia Lynn Fabbri, NP
• Adam Mohamed Fahs
• Heather Lee Fairless, O.D.
• Ben Fajardo, M.D.

• Physical Therapy Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.