Active NPI
Sharon Kelly, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1184632937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4169
- Practice address
- 8603 S Dixie Hwy
308
Miami, FL 33143-7807 - Phone
- (305) 661-1441
- Fax
- (305) 661-1443
- NPI assigned
- Aug 4, 2006
- Last updated
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT4169 | FL | Primary |
Addresses
Primary practice location
8603 S Dixie Hwy
308
Miami, FL 33143-7807
Mailing address
7421 SW 158TH Ter
Palmetto Bay, FL 33157-2476
Phone (305) 297-5865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y9831 | Other | FL | BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Miami Sports Medicine Inc. | Past | Accepting new patients | |
| Healis Rehabilitation Center | Past | Accepting new patients | |
| South Miami Sportmedicine & Hand Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba The Children's Clinic
- Rehabilitation Clinic/Center
- Village of Palmetto Bay, FL
- NPI 1326022823
-
- Physical Therapist
- Miami, FL
- NPI 1760590996
-
- Exclusive Provider Organization
- South Miami, FL
- NPI 1013211705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1184632937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 SW 158TH TER",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331572476",
"telephone_number": "305-297-5865",
"fax_number": "305-661-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 S DIXIE HWY",
"address_2": "308",
"city": "MIAMI",
"state": "FL",
"postal_code": "331437807",
"telephone_number": "305-661-1441",
"fax_number": "305-661-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y9831",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.