Active NPI
Sharon Renee Jessee, LPTA
- Physical Therapy Assistant
- Abingdon, VA
National Provider Identifier
1801501002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602901 | VA | MD | Physical 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.