Individual provider Active NPI

Deanne Sharp, PTA-L

  • Physical Therapy Assistant
  • Muskegon, MI
National Provider Identifier
1538542824
Registry record updated Jul 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502000388 Issued in MI
Practice address
1570 Delz Dr
Muskegon, MI 49445-1126
Phone
(231) 286-6213
NPI assigned
Jul 4, 2015
Last updated
Jul 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502000388 MI Primary

Addresses

Primary practice location

1570 Delz Dr
Muskegon, MI 49445-1126

Mailing address

1570 Delz Dr
Muskegon, MI 49445-1126
Phone (231) 286-6213

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

LicenseStateTypeSpecialty
5502000388MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435968000000",
    "number": "1538542824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 DELZ DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451126",
            "telephone_number": "231-286-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 DELZ DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451126",
            "telephone_number": "231-286-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "DEANNE",
        "credential": "PTA-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2015-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; 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.