Active NPI
Sharon Gail Fanning, PTA
- Physical Therapy Assistant
- Elkton, MD
National Provider Identifier
1457690513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A3866
- Practice address
- 1 Price Dr
Elkton, MD 21921-6731 - Phone
- (410) 398-6474
- NPI assigned
- Feb 10, 2013
- 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 Therapy Assistant | 225200000X | A3866 | MD | Primary |
Addresses
Primary practice location
1 Price Dr
Elkton, MD 21921-6731
Mailing address
2412 Calf Run Dr
Wilmington, DE 19808-4265
Phone (302) 584-0671
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 |
|---|---|---|---|
| A3866 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360454400000",
"number": "1457690513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 CALF RUN DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084265",
"telephone_number": "302-584-0671",
"fax_number": "302-994-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PRICE DR",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216731",
"telephone_number": "410-398-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "SHARON",
"middle_name": "GAIL",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-10",
"last_updated": "2013-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
- Robert Van Scott Evans, LCSW-C
- Jennifer L Eye, PHARMD
- Barbara Ann Facciolo, MASSAGE THERAPIST
- Fairhill Family Medicine Specialists, LLC
- Family Services Association Inc
- Najzhay Fareed
- Henry J Farkas, MD
- Stephanie L Farmer, NURSE PRACTITIONER
- Fast Care Medical Aid Unit, LLC
- Fast Care Medical Aid Unit, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.