Active NPI
Sharika Joyce Crockett, PTA
- Physical Therapy Assistant
- Houston, TX
National Provider Identifier
1265790976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P160066966
- Practice address
- 2002 Holcombe Blvd
Suite 2B-435
Houston, TX 77030-4211 - Phone
- (713) 794-7015
- Fax
- (713) 794-7631
- NPI assigned
- May 1, 2012
- 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 Therapy Assistant | 225200000X | P160066966 | WA | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Suite 2B-435
Houston, TX 77030-4211
Mailing address
1 Hermann Park CT
Apartment 219
Houston, TX 77021-2273
Phone (713) 794-7015
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 |
|---|---|---|---|
| P160066966 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1265790976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HERMANN PARK CT",
"address_2": "APARTMENT 219",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770212273",
"telephone_number": "713-794-7015",
"fax_number": "713-794-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "SUITE 2B-435",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "713-794-7015",
"fax_number": "713-794-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "SHARIKA",
"middle_name": "JOYCE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P160066966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.