Sharon Barabara Angeline, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001612 Issued in MI

Practice address

15979 Hall Road
Suite 150
Macomb Township, MI 48044

Phone

(586) 416-8430

Fax

(586) 416-8440

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285840751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 MAPLE CREEK CT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064812",
            "telephone_number": "248-650-0973",
            "fax_number": "586-416-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15979 HALL ROAD",
            "address_2": "SUITE 150",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-416-8430",
            "fax_number": "586-416-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELINE",
        "first_name": "SHARON",
        "middle_name": "BARABARA",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Michael Clements, D.C.
• Michael Jude D'Almeida, D.O.
• Francisco Antonio Gutierrez Jr., B.S., D.C.
• Roy Eugene Hanks II, D.O.
• Kari A Hortos, D.O.

• Physical Therapist in Macomb Township, MI
• Providers in Macomb Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.