NPIMap

Individual provider Active NPI

Carol Sheats, PT, OSC

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1578526646
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000569 Issued in DE
Practice address
1404 Forrest Ave
Dover, DE 19904-3478
Phone
(302) 741-0200
Fax
(302) 741-0245
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J10000569 DE Primary
Geriatric Physical Therapist 2251G0304X J10000569 DE
Sports Physical Therapist 2251S0007X J10000569 DE
Orthopedic Physical Therapist 2251X0800X J10000569 DE

Addresses

Primary practice location

1404 Forrest Ave
Dover, DE 19904-3478

Mailing address

1404 Forrest Ave
Dover, DE 19904-3478
Phone (302) 741-0200

Other identifiers 4

IdentifierTypeStateIssuer
1578526646OtherCHAMPUS TRICARE
91453501OtherNCA
5070-0066OtherCAREFIRST
2625869000OtherDEAMERIHEALTH

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
J10000569DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

  • Ati Holdings, LLC

    dba ATI Physical Therapy

    • Physical Therapy Clinic/Center
    • Rising Sun, MD
    • NPI 1396781050

    Physical Therapist

    NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1578526646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043478",
            "telephone_number": "302-741-0200",
            "fax_number": "302-741-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043478",
            "telephone_number": "302-741-0200",
            "fax_number": "302-741-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEATS",
        "first_name": "CAROL",
        "credential": "PT, OSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000569",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "DE",
            "license": "J10000569",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "DE",
            "license": "J10000569",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J10000569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "1578526646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCA",
            "identifier": "91453501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "5070-0066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2625869000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.