Individual provider Active NPI

Sharon Faye Anoff, SHARON ANOFF

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1528214293
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5014 Issued in OR
Practice address
2900 Charlevoix Dr SE
Ste 2004
Grand Rapids, MI 49546-7085
Phone
(800) 648-8048
NPI assigned
Aug 14, 2008
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5014 OR Primary
Physical Therapist 225100000X 19043 MD

Addresses

Primary practice location

2900 Charlevoix Dr SE
Ste 2004
Grand Rapids, MI 49546-7085

Mailing address

2900 Charlevoix Dr SE
Ste 200
Grand Rapids, MI 49546-7085

Other names 1

  • Sharon Anoff Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240428000005 OR Practitioner - Physical Therapist in Private Practice 3779923537 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1540 NW 13TH Ave
Portland, OR 97209-2371
Phone (971) 314-0462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19043MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Physical Therapist CurrentSince Apr 20, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 2, 2025 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
TSL Well LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Premere Rehab LLC Physical Therapist CurrentSince Apr 20, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 2, 2025 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

377 NW Jasper St
Dallas, OR 97338
Phone (503) 623-1777

13160 SE 172nd Ave
Happy Valley, OR 97086
Phone (503) 563-4930

3330 SE Three Mile Ln
McMinnville, OR 97128
Phone (971) 645-1650

822 Golf View Dr
Medford, OR 97504
Phone (541) 774-1822

1417 SE 107th Ave
Portland, OR 97216
Phone (503) 408-0404

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (360) 901-8111

Organizations & group practices 7

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1528214293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHARLEVOIX DR SE",
            "address_2": "STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHARLEVOIX DR SE",
            "address_2": "STE 2004",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467085",
            "telephone_number": "800-648-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANOFF",
        "first_name": "SHARON",
        "middle_name": "FAYE",
        "credential": "SHARON  ANOFF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5014",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "ANOFF",
            "credential": "SHARON  ANOFF",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.