Organization Active NPI

Sharpe Wellness & Therapy LLC

  • Physical Therapy Clinic/Center
  • East Stroudsburg, PA
National Provider Identifier
1174086540
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SHARPE WELLNESS & THERAPY LLC
Practice address
528 Seven Bridge Rd Unit 101a
East Stroudsburg, PA 18301-7621
Phone
(646) 519-0472
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Sarita Sharpe, MSPTNPI 1861623183
Title
Ceo
Phone
(646) 519-0472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

528 Seven Bridge Rd Unit 101a
East Stroudsburg, PA 18301-7621

Mailing address

707 Cypress Dr
East Stroudsburg, PA 18302-6657
Phone (646) 519-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625003736 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678807690 Receives reassigned benefits from 1 practitioner
Practice locations: East Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

528 Seven Bridge Rd
Unit 101A
East Stroudsburg, PA 18301
Phone (570) 730-4499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1174086540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CYPRESS DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026657",
            "telephone_number": "646-519-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SEVEN BRIDGE RD UNIT 101A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017621",
            "telephone_number": "646-519-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARPE WELLNESS & THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-519-0472",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.