Individual provider Active NPI

Sharon Walters, OTR/L

  • Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1467626895
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3036 Issued in SC
Practice address
4921 Bluffton Pkwy
Apt. 136
Bluffton, SC 29910-4610
Phone
(856) 522-9896
NPI assigned
Apr 16, 2008
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3036 SC Primary
Occupational Therapist 225X00000X OC008931 PA
Occupational Therapist 225X00000X OT004747 GA
Occupational Therapist 225X00000X 46TR0212200 NJ

Addresses

Primary practice location

4921 Bluffton Pkwy
Apt. 136
Bluffton, SC 29910-4610

Mailing address

4921 Bluffton Pkwy
Apt. 136
Bluffton, SC 29910-4610
Phone (856) 522-9896

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

LicenseStateTypeSpecialty
3036SCMDPhysical Therapy Assistant
OT004747GAMDOccupational Therapist
46TR0212200NJMDOccupational Therapist
OC008931PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1467626895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BLUFFTON PKWY",
            "address_2": "APT. 136",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104610",
            "telephone_number": "856-522-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 BLUFFTON PKWY",
            "address_2": "APT. 136",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104610",
            "telephone_number": "856-522-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SHARON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3036",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008931",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004747",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR0212200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.