Organization Active NPI

Kavita Sharma, D.O., PL

  • Physical Medicine & Rehabilitation Physician
  • Daytona Beach, FL
National Provider Identifier
1598096778
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS10120 Issued in FL
Legal business name
KAVITA SHARMA, D.O., PL
Practice address
1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117-5590
Phone
(386) 274-2977
Fax
(386) 274-2966
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Kavita Sharma, D.O.
Title
Owner
Phone
(201) 306-0594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS10120 FL Primary

Addresses

Primary practice location

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117-5590

Mailing address

1551 Crowne View Dr
# 818
Ormond Beach, FL 32174-0654
Phone (201) 306-0594

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1598096778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CROWNE VIEW DR",
            "address_2": "# 818",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740654",
            "telephone_number": "201-306-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD",
            "address_2": "STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITA SHARMA, D.O., PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-306-0594",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS10120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.