Individual provider Active NPI

Sharon M Hefty

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1215203278
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003455 Issued in MI
Practice address
1701 S Waverly Rd
Suite 109
Lansing, MI 48917-4300
Phone
(517) 367-7851
Fax
(517) 367-7857
NPI assigned
Mar 23, 2012
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501003455 MI Primary

Addresses

Primary practice location

1701 S Waverly Rd
Suite 109
Lansing, MI 48917-4300

Mailing address

1701 S Waverly Rd
Suite 109
Lansing, MI 48917-4300
Phone (517) 367-7851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000486 MI Practitioner - Physical Therapist in Private Practice 9638335789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1701 S Waverly Rd
Suite 109
Lansing, MI 48917-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501003455MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Aug 1, 2012 Accepting new patients

Locations

1701 S Waverly Rd
Ste 101
Lansing, MI 48917
Phone (517) 367-7851

1701 S Waverly Rd
Ste 109
Lansing, MI 48917
Phone (517) 367-7851

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1215203278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S WAVERLY RD",
            "address_2": "SUITE 109",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174300",
            "telephone_number": "517-367-7851",
            "fax_number": "517-367-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S WAVERLY RD",
            "address_2": "SUITE 109",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174300",
            "telephone_number": "517-367-7851",
            "fax_number": "517-367-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFTY",
        "first_name": "SHARON",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.