Sandra Renee Sheahon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA32457 Issued in FL

Practice address

2255 Centerville Rd
Tallahassee, FL 32308-4315

Phone

(850) 386-4054

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1841902624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 ATHENS CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323053202",
            "telephone_number": "419-324-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084315",
            "telephone_number": "850-386-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHON",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasmika Shaw-Gadley, RN
• Gregory Augustine Shaw, ARNP
• Marin Shaw
• Shadreka Shaw
• Noura H Shaya
• Patricia Shealy, PH.D.
• Dana Sheedy, PA-C
• James Brian Sheedy, MD
• John J. Sheetz
• Alexis Danielle Sheffer, PHARM D

• Physical Therapy Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.