Individual provider Active NPI

Sharon Pellman, P.T.

  • Physical Therapist
  • Litchfield Park, AZ
National Provider Identifier
1851664742
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6135 Issued in AZ
Practice address
12550 W Campina Dr
Litchfield Park, AZ 85340-5171
Phone
(602) 576-8666
NPI assigned
Feb 23, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6135 AZ Primary

Addresses

Primary practice location

12550 W Campina Dr
Litchfield Park, AZ 85340-5171

Mailing address

300 W Clarendon Ave Ste 200
Phoenix, AZ 85013-3422
Phone (602) 776-7676

Other practice location 1

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

Other names 1

  • Sharon Arsenault Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719002856 AZ Practitioner - Physical Therapist in Private Practice 4183994494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6135AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince May 1, 2017 Accepting new patients
Circle the City Current Accepting new patients
Circle the City CurrentSince May 1, 2017 Accepting new patients
PT Cruizer LLC Past Accepting new patients

Locations

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: sharon.pellman.1@11818.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851664742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133422",
            "telephone_number": "602-776-7676",
            "fax_number": "602-705-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 W CAMPINA DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405171",
            "telephone_number": "602-576-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850133205",
            "country_code": "US",
            "telephone_number": "602-776-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLMAN",
        "first_name": "SHARON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "ARSENAULT",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.