Organization Active NPI

Hope Onboard Mobile Physical Therapy & Performance, LLC

  • Physical Therapist
  • Downingtown, PA
National Provider Identifier
1780329763
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOPE ONBOARD MOBILE PHYSICAL THERAPY & PERFORMANCE, LLC
Practice address
135 Stonebridge LN
Downingtown, PA 19335-5506
Phone
(484) 459-1996
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Sharon Jessica Tatum, PT, DPT, MPTNPI 1942546932
Title
Owner/Physical Therapist
Phone
(484) 459-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Home Health Agency 251E00000X
Voluntary or Charitable Agency 251V00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X
Pain Clinic/Center 261QP3300X
Rehabilitation Clinic/Center 261QR0400X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X
Private Vehicle 347C00000X

Addresses

Primary practice location

135 Stonebridge LN
Downingtown, PA 19335-5506

Mailing address

PO Box 23
Downingtown, PA 19335-0023

Other practice location 1

1515 W Chester Pike Ste B1
West Chester, PA 19382-7781
Phone (484) 459-1996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515000433 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951742402 Receives reassigned benefits from 1 practitioner
Practice locations: Downingtown, PA

National Provider Directory

National Provider Directory

Locations

1515 W Chester Pike
Ste B1
West Chester, PA 19382
Phone (484) 459-1996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1780329763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193350023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 STONEBRIDGE LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355506",
            "telephone_number": "484-459-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 W Chester Pike Ste B1",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193827781",
            "country_code": "US",
            "telephone_number": "484-459-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE ONBOARD MOBILE PHYSICAL THERAPY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "484-459-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.