Active NPI
Patrick Joseph Sharkey
- Physical Therapist
- Gahanna, OH
National Provider Identifier
1447706197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016627
- Practice address
- 1045 Beecher Xing N
Ste C
Gahanna, OH 43230-4573 - Phone
- (614) 775-9618
- Fax
- (614) 775-9633
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- 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 Therapist | 225100000X | PT016627 | OH | Primary |
Addresses
Primary practice location
1045 Beecher Xing N
Ste C
Gahanna, OH 43230-4573
Mailing address
1045 Beecher Xing N
Ste C
Gahanna, OH 43230-4573
Phone (614) 775-9618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT016627 | Other | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016627 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1447706197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 BEECHER XING N",
"address_2": "STE C",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304573",
"telephone_number": "614-775-9618",
"fax_number": "614-775-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 BEECHER XING N",
"address_2": "STE C",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304573",
"telephone_number": "614-775-9618",
"fax_number": "614-775-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARKEY",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT016627",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.