Sharon Beth Black, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1857 Issued in AR

Practice address

421 Chesapeake Dr
Searcy, AR 72143-7035

Phone

(501) 368-0947

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

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.

• Pryor Physical Therapy

  • Physical Therapy Clinic/Center
  • Searcy, AR
  • NPI 1033222013
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760559074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHESAPEAKE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437035",
            "telephone_number": "501-368-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHESAPEAKE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437035",
            "telephone_number": "501-368-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SHARON",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5U464",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayudu Bhogavalli, MD
• Jason Scott Biggers, MD
• Wanda Bingham
• Bird and Bear Medical, LLC (AdaptHealth)
• Makenzi Payton Black
• Makenzie Blaine
• Blair Psychological Services, Inc.
• Brittany D. Blair, LPE-I
• Brent M Blakely, M.D.
• Heather Dawn Bland, PT, ATC, CSCS

• Physical Therapist in Searcy, AR
• Providers in Searcy, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.