Active NPI
Sharon Lynn Neal, LRT, CTRS
- Recreation Therapist
- Butner, NC
National Provider Identifier
1568673382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 229
- Practice address
- 104 Westbrook Dr
Butner, NC 27509-1633 - Phone
- (919) 575-5704
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 229 | NC | Primary |
Addresses
Primary practice location
104 Westbrook Dr
Butner, NC 27509-1633
Mailing address
104 Westbrook Dr
Butner, NC 27509-1633
Phone (919) 575-5704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCRTBL229 | Other | NC | STATE OF NORTH CAROLINA L |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 229 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568673382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WESTBROOK DR",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091633",
"telephone_number": "919-575-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WESTBROOK DR",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091633",
"telephone_number": "919-575-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "SHARON",
"middle_name": "LYNN",
"credential": "LRT, CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NC",
"license": "229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NORTH CAROLINA L",
"identifier": "NCRTBL229",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.