Active NPI
Sharon Reid Jessup, PT
- Physical Therapist
- Miami, FL
National Provider Identifier
1205992641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1469
- Practice address
- 14000 NW 1St Ave
Miami, FL 33168-4851 - Phone
- (305) 681-5454
- Fax
- (305) 681-9179
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 9, 2007
- 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 | PT1469 | FL | Primary |
Addresses
Primary practice location
14000 NW 1St Ave
Miami, FL 33168-4851
Mailing address
14000 NW 1St Ave
Miami, FL 33168-4851
Phone (305) 681-5454
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 |
|---|---|---|---|
| PT1469 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Specialists, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205992641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331684851",
"telephone_number": "305-681-5454",
"fax_number": "305-681-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331684851",
"telephone_number": "305-681-5454",
"fax_number": "305-681-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSUP",
"first_name": "SHARON",
"middle_name": "REID",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT1469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Jessie Trice Community Health System Inc
- Jessie Trice Community Health System, Inc (Main Pharmacy)
- Jessie Trice Community Health System, Inc
- Jessie Trice Community Health System, Inc
- Jessie Trice Community Health System, Inc
- Jessy Sadovnik PA
- Yolanda M Jester
- Jesucristo Medical Group LLC
- Jesus B. Menendez-Rivera MD PA
- Jesus de Nazareth Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.