Individual provider Active NPI

Shara Fawn Labelson, DPT

  • Specialist
  • New York, NY
National Provider Identifier
1215975024
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21201 Issued in NY
Practice address
149 E 62ND St
Suite 1a
New York, NY 10065-7630
Phone
(646) 429-9673
Fax
(646) 429-8573
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21201 NY Primary

Addresses

Primary practice location

149 E 62ND St
Suite 1a
New York, NY 10065-7630

Mailing address

5 Renaissance SQ Apt 9B
White Plains, NY 10601-3043
Phone (917) 741-9742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000168 NY Practitioner - Physical Therapist in Private Practice 7911946538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

354 Downing Dr
Yorktown Heights, NY 10598-4414
Phone (914) 202-0700

5 N Greenwich Rd
Armonk, NY 10504-2311
Phone (914) 202-0700

654 White Plains Rd
Tarrytown, NY 10591-5104
Phone (914) 504-1377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021201NYMDPsychologist
21201NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC CurrentSince Mar 1, 2021 Accepting new patients
Focal Physical Therapy PLLC CurrentSince Jun 7, 2023 Accepting new patients
Sports Physical Therapy of New York, P.C. PastSince Dec 11, 2013 Accepting new patients

Locations

1 Elm St
Ardsley, NY 10502
Phone (914) 801-8811

5 N Greenwich Rd
Armonk, NY 10504
Phone (914) 207-7337

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

134 Marble Ave
Pleasantville, NY 10570
Phone (914) 690-7527

371 S Broadway
Tarrytown, NY 10591
Phone (914) 207-7337

354 Downing Dr
Yorktown Hts, NY 10598
Phone (914) 248-1612

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1215975024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RENAISSANCE SQ APT 9B",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013043",
            "telephone_number": "917-741-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E 62ND ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657630",
            "telephone_number": "646-429-9673",
            "fax_number": "646-429-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELSON",
        "first_name": "SHARA",
        "middle_name": "FAWN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "21201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.