Jace Evan Sharp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4722 Issued in OK

Practice address

1200 W Cherokee St
Wagoner, OK 74467-4624

Phone

(918) 485-1212

Fax

(918) 485-1335

NPI assigned

Aug 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagoner Hospital AuthorityGroup PAC ID 0042217531, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166
• Wagoner Community Hospital Nursing home, CCN 37U166

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jace.sharp.1@14254.direct.athenahealth.com

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.

• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Medicare reassignment Care Compare group NPD
• Wagoner Hospital Authority

  • Rural Health Clinic/Center
  • Wagoner, OK
  • NPI 1366674772
  NPD
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Care Compare affiliation
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1245662550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-1212",
            "fax_number": "918-485-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-1212",
            "fax_number": "918-485-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JACE",
        "middle_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200513580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Sarver, CHES
• Chloe Mae Schilling
• Kamilah Scroggins
• Jimmy Todd Self, LPC
• Shade Dialysis LLC (Wagoner Dialysis)
• Pamela Louise Sharp
• Shelly Rice OD PC Inc (Rice Family Eye Care)
• Shepherd's Care Hospice of Wagoner, LLC
• Valerie Sherman
• Zona Marie Siler

• Physical Therapist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.