Active NPI
Sharita Person
- Occupational Therapy Assistant
- Fairborn, OH
National Provider Identifier
1750642427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 04924
- Practice address
- 2270 Park Hills Dr
Fairborn, OH 45324-3993 - Phone
- (937) 878-5004
- NPI assigned
- May 30, 2012
- Last updated
- May 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 04924 | OH | Primary |
Addresses
Primary practice location
2270 Park Hills Dr
Fairborn, OH 45324-3993
Mailing address
5734 Fisher Dr
Huber Heights, OH 45424-5564
Phone (937) 238-2447
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 |
|---|---|---|---|
| 04924 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1750642427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5734 FISHER DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454245564",
"telephone_number": "937-238-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 PARK HILLS DR",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453243993",
"telephone_number": "937-878-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSON",
"first_name": "SHARITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "04924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.