Individual provider Active NPI

Tina Sharma, M.P.T.

  • Physical Therapist
  • Burke, VA
National Provider Identifier
1841286341
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202069 Issued in VA
Practice address
9269 Old Keene Mill Rd Ste a
Burke, VA 22015-4202
Phone
(703) 455-0115
Fax
(571) 358-8800
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202069 VA Primary

Addresses

Primary practice location

9269 Old Keene Mill Rd Ste a
Burke, VA 22015-4202

Mailing address

9269 Old Keene Mill Rd Ste a
Burke, VA 22015-4202
Phone (732) 895-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000205 DC Practitioner - Physical Therapist in Private Practice 5991978520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Physical Therapy LLCGroup PAC ID 3375716905, 4 clinicians

Practice addresses (Care Compare)

9269 Old Keene Mill Rd
Suite a
Burke, VA 22015-4202
Phone (703) 455-0115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Physical Therapy LLC CurrentSince Aug 1, 2011 Accepting new patients
Coach House Physicial Therapy&Sports Medicine Center, LLC Physical Therapist Past Accepting new patients
Physicial Therapy Associates of King George Physical Therapist Past Accepting new patients

Locations

9269 Old Keene Mill Rd
#A
Burke, VA 22015
Phone (703) 455-0115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1841286341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9269 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "732-895-8668",
            "fax_number": "571-358-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9269 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "703-455-0115",
            "fax_number": "571-358-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "TINA",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.