Brian Sharp, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61624607 Issued in WA

Practice address

14775 N Kimo CT Ste a
Rathdrum, ID 83858-8762

Phone

(208) 687-9240

Fax

(208) 687-9241

NPI assigned

Feb 10, 2025

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Physical Therapy and Sports Medicine

  dba Lighthouse PT & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Greenacres, WA
  • NPI 1598364143
  NPD

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1780499616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-664-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 N KIMO CT STE A",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588762",
            "telephone_number": "208-687-9240",
            "fax_number": "208-687-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61624607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Louise Robinson, LCSW
• Gregory A Roman, DPT
• Jolene Ross, LMP
• Violet Rudd, LAMFT
• Lynn Russell, LCSW, ACSW, QP, CS
• Keagan Scott Shillington, DPT
• Dean Sparks, P.A.-C
• Ssa VII, LLC
• Shauna Rae Stimmel, MASTER DEGREE
• Tamarack Pharmacy

• Physical Therapy Assistant in Rathdrum, ID
• Providers in Rathdrum, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.