Individual provider Active NPI

Sharareh Izadi, MD

  • Physical Medicine & Rehabilitation Physician
  • Port St Lucie, FL
National Provider Identifier
1558757302
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME146777 Issued in FL
Practice address
1655 SE Walton Rd
Port St Lucie, FL 34952-7657
Phone
(772) 337-1333
NPI assigned
Apr 8, 2015
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME146777 FL Primary

Addresses

Primary practice location

1655 SE Walton Rd
Port St Lucie, FL 34952-7657

Mailing address

7655 14TH LN
Vero Beach, FL 32966-1220
Phone (213) 327-4639

Other practice location 1

1751 SE Hillmoor Dr
Port St Lucie, FL 34952-7535
Phone (772) 335-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200914001027 FL Practitioner - Physical Medicine and Rehabilitation 9638454333 Reassigns benefits to 4 organizations
I20221109002567 VA Practitioner - Physical Medicine and Rehabilitation 9638454333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Enhanced Integrative Health P.a.Group PAC ID 3870998495, 3 clinicians

Practice addresses (Care Compare)

1655 SE Walton Rd
Savannas Park Health and Rehab
Port St Lucie, FL 34952-7657
Phone (772) 337-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME146777FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Feb 10, 2024 Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 28, 2022 Accepting new patients
Danville Physician Practices LLC CurrentSince Nov 28, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Feb 10, 2024 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Aug 26, 2020 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Lee Memorial Health System Current Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2780 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 334-5454

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

6767 86th Ave N
Pinellas Park, FL 33782
Phone (727) 548-5566

1751 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (772) 335-8844

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 10

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1558757302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 14TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661220",
            "telephone_number": "213-327-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SE WALTON RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527657",
            "telephone_number": "772-337-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 SE Hillmoor Dr",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527535",
            "country_code": "US",
            "telephone_number": "772-335-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZADI",
        "first_name": "SHARAREH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME146777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.