Active NPI
Matthew Sharon, PTA
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1174097414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4951
- Practice address
- 5321 Beverly Park Cir
Knoxville, TN 37918-9253 - Phone
- (865) 661-7243
- NPI assigned
- Jan 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4951 | TN | Primary |
Addresses
Primary practice location
5321 Beverly Park Cir
Knoxville, TN 37918-9253
Mailing address
637 Pennsylvania Ave
Oak Ridge, TN 37830-5170
Phone (865) 661-7243
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 |
|---|---|---|---|
| 4951 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1174097414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 PENNSYLVANIA AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305170",
"telephone_number": "865-661-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 BEVERLY PARK CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379189253",
"telephone_number": "865-661-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARON",
"first_name": "MATTHEW",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "4951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.