Theresa Ann Shark, P.T.
Individual provider Active NPI Physical Therapist · Ripon, CA
NPI 1376979591 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1376979591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 28975 (CA)
- Practice address
- 103 E Main St
Ripon, CA 95366-2416 - Phone
- (209) 599-7073
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Orthopaedic Physical Therapy | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28975 | CA | Yes |
Addresses
Primary practice location
103 E Main St
Ripon, CA 95366-2416
Mailing address
476 Otis Dr
Ripon, CA 95366-3337
Phone (505) 274-0884
Other providers in Ripon, CA
- Lawrence Joseph Sarkis
- Laura Marie Sauers
- Lana Jo Scott
- Senior Care Alliance at Home Care LLC
- Kamyar Peter Sharifi
- Sarah Shipherd
- Shayla Silva
- Jaspal Singh
- Gurneet Somal
- Donn Charles Sperry
All providers in Ripon, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.