Sharon D Baines, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0000005168 Issued in TN

Practice address

3915 Bristol Hwy
Suite 301
Johnson City, TN 37601-1400

Phone

(423) 262-0020

Fax

(423) 262-0057

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Johnson City, TN
  • NPI 1841379914
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1174765820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BRISTOL HWY",
            "address_2": "SUITE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011400",
            "telephone_number": "423-262-0020",
            "fax_number": "423-262-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BRISTOL HWY",
            "address_2": "SUITE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011400",
            "telephone_number": "423-262-0020",
            "fax_number": "423-262-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINES",
        "first_name": "SHARON",
        "middle_name": "D",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000005168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Bailey, MD
• Travis Dean Bailey
• Victoria Bailey, PA-C
• Michael Baines, PA-C
• Ryne Andrew Baines, OTR/L
• Andrew James Baker, LPC-MHSP
• Brittany S Baker, LPC, MHSP
• David Alan Baker, MD
• Everett Vincent Baker, NURSE PRACTITIONER
• James L Baker, M.D.

• Massage Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.