Active NPI
Corey Sharp
- Occupational Therapist
- Carson City, NV
National Provider Identifier
1891242574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16-0765
- Practice address
- 1365 Medical Pkwy
Carson City, NV 89703-4653 - Phone
- (775) 786-3040
- Fax
- (775) 788-5254
- NPI assigned
- Sep 9, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16-0765 | NV | Primary |
Addresses
Primary practice location
1365 Medical Pkwy
Carson City, NV 89703-4653
Mailing address
555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040
Other practice location 1
1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704
Phone (775) 782-6620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15804644 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1891242574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034723",
"telephone_number": "775-786-3040",
"fax_number": "775-786-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034653",
"telephone_number": "775-786-3040",
"fax_number": "775-788-5254"
}
],
"practiceLocations": [
{
"address_1": "1565 Virginia Ranch Rd",
"address_purpose": "LOCATION",
"city": "Gardnerville",
"state": "NV",
"postal_code": "894105704",
"country_code": "US",
"telephone_number": "775-782-6620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "16-0765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15804644",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- 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.
- 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.