Sharon Bartsch, PTA

Individual provider Active NPI Physical Therapy Assistant · Carol Stream, IL

NPI 1780939488 · NPPES record last updated Jul 18, 2012

Key facts

NPI
1780939488
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
160000710 (IL)
Practice address
721 Buffalo Cir
Carol Stream, IL 60188-9105
Phone
(630) 293-0270
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
160000710ILMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160000710 IL Yes

Addresses

Primary practice location

721 Buffalo Cir
Carol Stream, IL 60188-9105

Mailing address

721 Buffalo Cir
Carol Stream, IL 60188-9105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2012.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1780939488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BUFFALO CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BUFFALO CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889105",
            "telephone_number": "630-293-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTSCH",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

All providers in Carol Stream, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.