Individual provider Active NPI

Sharon Annette Hall, DPT

  • Geriatric Physical Therapist
  • Cheney, WA
National Provider Identifier
1467540039
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT00005677 Issued in WA
Practice address
14204 S Andrus Rd
Cheney, WA 99004-9059
Phone
(509) 280-4570
NPI assigned
Oct 10, 2006
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT00005677 WA Primary

Addresses

Primary practice location

14204 S Andrus Rd
Cheney, WA 99004-9059

Mailing address

14204 S Andrus Rd
Cheney, WA 99004-9059
Phone (509) 280-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708000891 WA Practitioner - Physical Therapist in Private Practice 1052734134 Reassigns benefits to 1 organization
Practice locations: Cheney, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon Physical Therapy PLLCGroup PAC ID 1153229596, 10 clinicians

Practice addresses (Care Compare)

626 N Mullan Rd
Suite 4
Spokane Valley, WA 99206-3857
Phone (509) 892-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Physical Therapy, PLLC CurrentSince May 22, 2022 Accepting new patients

Locations

626 N Mullan Rd
Ste 4
Spokane Valley, WA 99206
Phone (509) 892-5442

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1467540039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 S ANDRUS RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049059",
            "telephone_number": "509-280-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 S ANDRUS RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049059",
            "telephone_number": "509-280-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHARON",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": "PT00005677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheney, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.