Individual provider Active NPI

Sharon Jackola, P.T.

  • Physical Therapist
  • North Hills, CA
National Provider Identifier
1265740682
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17648 Issued in CA
Practice address
9231 Natick Ave
North Hills, CA 91343-3421
Phone
(818) 893-4204
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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 PT17648 CA Primary

Addresses

Primary practice location

9231 Natick Ave
North Hills, CA 91343-3421

Mailing address

9231 Natick Ave
North Hills, CA 91343-3421
Phone (818) 893-4204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030004433 CA Practitioner - Physical Therapist in Private Practice 7719476563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Ca PCGroup PAC ID 5698209799, 41 clinicians

Practice addresses (Care Compare)

Westlake Village, CA 91362
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17648CAMDPhysical Therapist
17648CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Ca PC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

16868 Via del Campo Ct
#1001182
San Diego, CA 92127

16868 Via del Campo Ct
Ste 100
San Diego, CA 92127
Phone (858) 239-8469

95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1265740682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 NATICK AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433421",
            "telephone_number": "818-893-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 NATICK AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433421",
            "telephone_number": "818-893-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOLA",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.