Active NPI
Sharon Lieser, R.P.T.
- Physical Therapist
- Ukiah, CA
National Provider Identifier
1376608166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009755
- Practice address
- 206 Mason St
Suite C
Ukiah, CA 95482-4493 - Phone
- (707) 463-8498
- Fax
- (707) 468-6466
- NPI assigned
- Dec 22, 2006
- 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 | 009755 | CA | Primary |
Addresses
Primary practice location
206 Mason St
Suite C
Ukiah, CA 95482-4493
Mailing address
206 Mason St
C
Ukiah, CA 95482-4493
Phone (707) 272-8498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070620000384 | CA | Practitioner - Physical Therapist in Private Practice | 3971602723 | Practice locations: Hopland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4920 Feliz Creek Rd
Hopland, CA 95449
Phone (707) 272-8498
PO Box
Suite 506
Hopland, CA 95449
PO Box
Suite 506
Hopland, CA 95449-0506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009755 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1376608166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 MASON ST",
"address_2": "C",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824493",
"telephone_number": "707-272-8498",
"fax_number": "707-468-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MASON ST",
"address_2": "SUITE C",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824493",
"telephone_number": "707-463-8498",
"fax_number": "707-468-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESER",
"first_name": "SHARON",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "009755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.