Active NPI
Pamela Ann Sharp, MA PT
- Physical Therapist
- Wantagh, NY
National Provider Identifier
1356619217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013810-1
- Practice address
- 37 Deep LN
Wantagh, NY 11793-1805 - Phone
- (516) 804-0396
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 013810-1 | NY | Primary |
Addresses
Primary practice location
37 Deep LN
Wantagh, NY 11793-1805
Mailing address
37 Deep LN
Wantagh, NY 11793-1805
Phone (516) 804-0396
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013810-1 | NY | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1356619217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DEEP LN",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931805",
"telephone_number": "516-804-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 DEEP LN",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117931805",
"telephone_number": "516-804-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013810-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.