Active NPI
Constance Sharp
- Physical Therapy Assistant
- Salem, OH
National Provider Identifier
1578768560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 451 Valley Rd
Salem, OH 44460-9725 - Phone
- (330) 537-4621
- NPI assigned
- Jun 19, 2007
- Last updated
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA03209 | OH | |
| Physical Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
451 Valley Rd
Salem, OH 44460-9725
Mailing address
1735 S Rockhill Ave
Alliance, OH 44601-3936
Other practice location 1
7233 Whipple Ave NW
North Canton, OH 44720-7137
Phone (330) 498-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA03209 | Other | OH | STATE OF OHIO LICENSE |
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 |
|---|---|---|---|
| PTA03209 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1578768560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 S ROCKHILL AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 VALLEY RD",
"city": "SALEM",
"state": "OH",
"postal_code": "444609725",
"telephone_number": "330-537-4621"
}
],
"practiceLocations": [
{
"address_1": "7233 Whipple Ave NW",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447207137",
"country_code": "US",
"telephone_number": "330-498-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "CONSTANCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA03209",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO LICENSE",
"identifier": "PTA03209",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.