Individual provider Active NPI

Cassandra Sharp, DPT

  • Physical Therapist
  • Chillicothe, OH
National Provider Identifier
1184175119
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016265 Issued in OH
Practice address
1245 Western Ave
Chillicothe, OH 45601-1169
Phone
(740) 701-8286
NPI assigned
Oct 14, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17010 NC
Physical Therapist 225100000X PT016265 OH Primary

Addresses

Primary practice location

1245 Western Ave
Chillicothe, OH 45601-1169

Mailing address

801 Mingo Rd
Chillicothe, OH 45601-8026
Phone (740) 701-8286

Other practice location 1

2900 Charlevoix Drive
Suite 200
Grand Rapids, MI 49546
Phone (800) 684-8048

Other practice location 2

5830 Coral Ridge Dr Ste 300
Coral Springs, FL 33076-3388
Phone (866) 425-5758 ext. 281

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

LicenseStateTypeSpecialty
17010NCMDMental Health Counselor
PT016265OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184175119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MINGO RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018026",
            "telephone_number": "740-701-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011169",
            "telephone_number": "740-701-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Charlevoix Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49546",
            "country_code": "US",
            "telephone_number": "800-684-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5830 Coral Ridge Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763388",
            "country_code": "US",
            "telephone_number": "866-425-5758 x281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17010",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.