Individual provider Active NPI

Sharon Prill

  • Physical Therapy Assistant
  • Kelseyville, CA
National Provider Identifier
1922418987
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9887 Issued in CA
Practice address
9299 Chippewa TRL
Kelseyville, CA 95451-9696
Phone
(707) 245-6546
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9887 CA Primary

Addresses

Primary practice location

9299 Chippewa TRL
Kelseyville, CA 95451-9696

Mailing address

9299 Chippewa TRL
Kelseyville, CA 95451-9696
Phone (707) 245-6546

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

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1922418987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 CHIPPEWA TRL",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519696",
            "telephone_number": "707-245-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 CHIPPEWA TRL",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519696",
            "telephone_number": "707-245-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILL",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelseyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.