Active NPI
Sharon S. Gaddy, LPTA
- Physical Therapy Assistant
- Salisbury, NC
National Provider Identifier
1386849636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 61
- Practice address
- 612 Mocksville Ave
Salisbury, NC 28144-2732 - Phone
- (704) 210-5420
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 61 | NC | Primary |
Addresses
Primary practice location
612 Mocksville Ave
Salisbury, NC 28144-2732
Mailing address
2120 W C St
Kannapolis, NC 28081-9348
Phone (704) 938-4172
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 |
|---|---|---|---|
| 61 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386849636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W C ST",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280819348",
"telephone_number": "704-938-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442732",
"telephone_number": "704-210-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDY",
"first_name": "SHARON",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- 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.