Active NPI
Sharalee Boda
- Occupational Therapist
- East Lansing, MI
National Provider Identifier
1710230925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201002709
- Practice address
- 830 W Lake Lansing Rd
Suite 250
East Lansing, MI 48823-6371 - Phone
- (517) 333-8533
- Fax
- (517) 333-8539
- NPI assigned
- Oct 25, 2012
- Last updated
- Oct 25, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201002709 | MI | Primary |
Addresses
Primary practice location
830 W Lake Lansing Rd
Suite 250
East Lansing, MI 48823-6371
Mailing address
PO Box 558
Dewitt, MI 48820-0558
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Area Physical Therapy Associates, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fyzical Therapy Mid-Michigan
- Physical Therapy Clinic/Center
- East Lansing, MI
- NPI 1659327021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1710230925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 558",
"city": "DEWITT",
"state": "MI",
"postal_code": "488200558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W LAKE LANSING RD",
"address_2": "SUITE 250",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236371",
"telephone_number": "517-333-8533",
"fax_number": "517-333-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODA",
"first_name": "SHARALEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201002709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.