Individual provider Active NPI

Sharon Saacks, LPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1700844669
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006715L Issued in PA
Practice address
3301 N Front St
Harrisburg, PA 17110-1436
Phone
(717) 909-4030
Fax
(717) 909-4031
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006715L PA Primary

Addresses

Primary practice location

3301 N Front St
Harrisburg, PA 17110-1436

Mailing address

3301 N Front St
Harrisburg, PA 17110-1436
Phone (717) 909-4030

Other identifiers 2

IdentifierTypeStateIssuer
SA580461OtherPABLUE SHIELD
01353101OtherPABLUE CROSS (PA)

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1700844669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-909-4030",
            "fax_number": "717-909-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-909-4030",
            "fax_number": "717-909-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAACKS",
        "first_name": "SHARON",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006715L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SA580461",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (PA)",
            "identifier": "01353101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.