Active NPI
Sharon Diane Baxley, PTA
- Physical Therapy Assistant
- Laurel, MD
National Provider Identifier
1831230283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1696
- Practice address
- 14201 Laurel Park Drive
Laurel, MD 20707 - Phone
- (301) 497-2385
- Fax
- (301) 497-2385
- NPI assigned
- Feb 9, 2007
- 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 | A1696 | MD | Primary |
Addresses
Primary practice location
14201 Laurel Park Drive
Laurel, MD 20707
Mailing address
7876 Red Jacket Way
Jessup, MD 20794
Phone (301) 617-9848
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 |
|---|---|---|---|
| A1696 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1831230283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7876 RED JACKET WAY",
"city": "JESSUP",
"state": "MD",
"postal_code": "20794",
"telephone_number": "301-617-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DRIVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "20707",
"telephone_number": "301-497-2385",
"fax_number": "301-497-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "SHARON",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A1696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.