Nicole Anderson Sharp, MS PT
Individual provider Active NPI Physical Therapist · Murrey, UT
NPI 1811062532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811062532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 331421-2401 (UT)
- Practice address
- Woodland Park Care Center
3855 S 700 E
Murrey, UT 84106 - Phone
- (801) 506-1185
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331421-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 331421-2401 | UT | Yes |
Addresses
Primary practice location
Woodland Park Care Center
3855 S 700 E
Murrey, UT 84106
Mailing address
499N 20000
#35
Boutiful, UT 84010
Phone (801) 864-7007
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.