Individual provider Active NPI

Sharon Renee Jessee, LPTA

  • Physical Therapy Assistant
  • Abingdon, VA
National Provider Identifier
1801501002
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306602901 Issued in VA
Practice address
860 Wolf Creek TRL
Abingdon, VA 24210-2536
Phone
(276) 628-1621
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306602901 VA Primary

Addresses

Primary practice location

860 Wolf Creek TRL
Abingdon, VA 24210-2536

Mailing address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Phone (865) 392-2849

Other practice location 1

500 Clinic Dr
Cedar Bluff, VA 24609-9406
Phone (276) 596-9750

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

LicenseStateTypeSpecialty
2306602901VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1801501002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347",
            "telephone_number": "865-392-2849",
            "fax_number": "855-294-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 WOLF CREEK TRL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102536",
            "telephone_number": "276-628-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246099406",
            "country_code": "US",
            "telephone_number": "276-596-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSEE",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.