Active NPI
Sharon J Waldman
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1619133758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6382
- Practice address
- 1952 E 7000 S Ste 100
Salt Lake City, UT 84121-6878 - Phone
- (801) 942-3311
- Fax
- (801) 942-5955
- NPI assigned
- Jul 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6382 | CA | Primary |
Addresses
Primary practice location
1952 E 7000 S Ste 100
Salt Lake City, UT 84121-6878
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 942-3311
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 |
|---|---|---|---|
| 6024 | NY | MD | Clinical Psychologist |
| 6382 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Fork Physical Therapy PC | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Riverhead, NY
- NPI 1972655041
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1619133758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711185",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841711185",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E 7000 S STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216878",
"telephone_number": "801-942-3311",
"fax_number": "801-942-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "SHARON",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "6382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
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- Cheryl Ann Walczak, MD
- Hayley Jillian Waldbillig-Nelson
- Julie L Waldo, MPT, OCS, CMPT
- Jill Stratford Waldron, APRN, GNP-BC
- Matthew Christian Waldrop, PA-S
- Walgreen Co (Walgreens #19999)
- Walgreen Co (Rite Aid#17315)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.