Sharlene Mae Chan Dy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008544 Issued in GA

Practice address

1013 Riverburch Pkwy
Suite 4
Dalton, GA 30721-8887

Phone

(866) 261-8090

Fax

(706) 226-7869

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integra Rehabilitation Agency, LLC

  dba Integra Rehab Agency

  • Rehabilitation Clinic/Center
  • Dalton, GA
  • NPI 1053414177
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1629223482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 PONDEROSA LN",
            "address_2": "APARTMENT 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203523",
            "telephone_number": "706-659-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 RIVERBURCH PKWY",
            "address_2": "SUITE 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218887",
            "telephone_number": "866-261-8090",
            "fax_number": "706-226-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "SHARLENE MAE",
        "middle_name": "CHAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008544",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Shea Duncan, CPS
• Trenton Dunford, DDS
• Ashley Dunwoody, PHARMD
• Herndon Anthony Durett II
• DX Mso of Georgia LLC (AFC Urgent Care and Family Care)
• Laura S Dyer, L.M.T.
• Kayla Kristine Dziuba, DO
• Brittany Alexis Eaker, FDNP
• Allison Anastasia Eargle, MCD, CCC-SLP
• Earley Daze Anesthesia LLC

• Physical Therapist in Dalton, GA
• Providers in Dalton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.