Active NPI
Sharon Mayes
- Prosthetics Case Management
- Philadelphia, PA
National Provider Identifier
1386269264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CM013922L
- Practice address
- 2135 Walnut St
Philadelphia, PA 19103-4442 - Phone
- (215) 564-1914
- NPI assigned
- Jun 16, 2020
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CM013922L | PA | Primary |
Addresses
Primary practice location
2135 Walnut St
Philadelphia, PA 19103-4442
Mailing address
8745 Gillespie St
Philadelphia, PA 19136-2129
Phone (215) 582-5560
Other practice location 1
3710 N Broad St
Philadelphia, PA 19140-3608
Phone (267) 457-5516
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 |
|---|---|---|---|
| CM013922L | PA | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexis Angel'S LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Philadelphia, PA
- NPI 1083311492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1386269264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 GILLESPIE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362129",
"telephone_number": "215-582-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034442",
"telephone_number": "215-564-1914"
}
],
"practiceLocations": [
{
"address_1": "3710 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191403608",
"country_code": "US",
"telephone_number": "267-457-5516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYES",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "PA",
"license": "CM013922L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.