Individual provider Active NPI

Susan Sharko, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1922506369
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2939975 Issued in CA
Practice address
31741 Temecula Pkwy Ste C
Temecula, CA 92592-6800
Phone
(951) 719-8155
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 PT2939975 CA Primary

Addresses

Primary practice location

31741 Temecula Pkwy Ste C
Temecula, CA 92592-6800

Mailing address

40680 California Oaks Rd
Ste 2a
Murrieta, CA 92562-5755
Phone (951) 894-4800

Other names 1

  • Susan Elizabeth Sharko Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002259 CA Practitioner - Physical Therapist in Private Practice 3173887437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redhawk Physical Therapy IncGroup PAC ID 8921439589, 3 clinicians

Practice addresses (Care Compare)

31537 Rancho Pueblo Rd
Suite 204
Temecula, CA 92592-4841
Phone (951) 514-0728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2939975CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redhawk Physical Therapy, Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
The Rehab Group Physical Therapist CurrentSince Jan 3, 2018 Accepting new patients

Locations

40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800

31741 Temecula Pkwy
Ste C
Temecula, CA 92592
Phone (951) 719-8155

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1922506369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "STE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31741 TEMECULA PKWY STE C",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926800",
            "telephone_number": "951-719-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKO",
        "first_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT2939975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHARKO",
            "middle_name": "ELIZABETH",
            "credential": "FREESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.