Individual provider Active NPI

Sharon L Vosekalns, P.T.

  • Orthopedic Physical Therapist
  • Glendale, AZ
National Provider Identifier
1669482519
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8318 Issued in AZ
Practice address
17100 N 67TH Ave
BLDG 1
Glendale, AZ 85308-3612
Phone
(623) 979-2747
Fax
(623) 979-3122
NPI assigned
Aug 9, 2006
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8318 AZ Primary

Addresses

Primary practice location

17100 N 67TH Ave
BLDG 1
Glendale, AZ 85308-3612

Mailing address

17100 N 67Thave
BLDG 1
Glendale, AZ 85308-3612
Phone (623) 979-2747

Other identifiers 1

IdentifierTypeStateIssuer
30393896MedicaidNH

Other names 1

  • Miss Sharon L Wolfe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000163 AZ Practitioner - Physical Therapist in Private Practice 9931128014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SLK IncGroup PAC ID 3476456591, 4 clinicians

Practice addresses (Care Compare)

8685 W Union Hills Dr
Peoria, AZ 85382-7006
Phone (623) 486-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8318AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLK Inc CurrentSince Mar 8, 2016 Accepting new patients
Aris Health Corp Past Accepting new patients
Performance Rehab, Inc. Orthopedic PastSince Apr 28, 1999 Accepting new patients

Locations

8685 W Union Hills Dr
Peoria, AZ 85382
Phone (623) 486-2331

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1669482519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67THAVE",
            "address_2": "BLDG 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083612",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "address_2": "BLDG 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083612",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSEKALNS",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "8318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30393896",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "WOLFE",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.