Active NPI
Sharon K Willey, HHP
- Mechanotherapist
- San Diego, CA
National Provider Identifier
1861756199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 28053
- Practice address
- 3065 Rosecrans PL
Suite 105
San Diego, CA 92110-4820 - Phone
- (760) 703-6107
- NPI assigned
- Jul 2, 2012
- Last updated
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 28053 | CA | Primary |
Addresses
Primary practice location
3065 Rosecrans PL
Suite 105
San Diego, CA 92110-4820
Mailing address
6230 Crystal Lake Ave
San Diego, CA 92119-3331
Phone (760) 703-6107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28053 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
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 |
|---|---|---|---|
| 28053 | CA | MD | Patient Transport Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1861756199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 CRYSTAL LAKE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921193331",
"telephone_number": "760-703-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 ROSECRANS PL",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104820",
"telephone_number": "760-703-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "SHARON",
"middle_name": "K",
"credential": "HHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CA",
"license": "28053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "28053",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Danielle Marie Willenborg, LCSW
- Jennifer Reikes Willert, M.D.
- Lawrence Browning Willes, MD
- Samantha M Willes
- Frank Tilghman Willey, PH.D., M.F.T
- Stefan A Willging, MD
- William E. Bowman, M.D. Inc.
- William E. Lin, D.D.S., a Public Corporation (Southland Plaza Dental Office, Inc.)
- William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc (San Diego Family Dermatology)
- William K Lo MD a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.