Individual provider Active NPI

Sharon Jessica Tatum, PT, DPT, MPT

  • Physical Therapist
  • Glen Mills, PA
National Provider Identifier
1942546932
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
DAPT002763 Issued in PA
Practice address
600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Phone
(484) 459-1996
NPI assigned
Dec 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011830L PA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DAPT002763 PA Primary

Addresses

Primary practice location

600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053

Mailing address

135 Stonebridge LN
Downingtown, PA 19335-5506
Phone (484) 459-1996

Other practice location 1

113 Arrandale Blvd
Exton, PA 19341-2503
Phone (484) 459-1996

Other names 1

  • Sharon Jessica Bende Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000740 PA Practitioner - Physical Therapist in Private Practice 8921067448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT002763PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Jun 18, 2021 Accepting new patients
Hope Onboard Mobile Physical Therapy & Performance, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Multi-Specialty CurrentSince Jun 18, 2021 Accepting new patients
Body Rebuilders, P.C. Multi-Specialty PastSince Aug 18, 2014 Accepting new patients
Christine F. Hayes P.T, P.C. Multi-Specialty PastSince Jul 18, 2013 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Dec 17, 2012 Accepting new patients
HNCP PC Michael M Cohen MD Multi-Specialty PastSince Feb 14, 2003 Accepting new patients
Ostrow & Associates Physical Therapy & Wellness Centers, P.C. Physical Therapist Past Accepting new patients

Locations

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 8

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1942546932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 STONEBRIDGE LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355506",
            "telephone_number": "484-459-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EVERGREEN DR STE 201",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421053",
            "telephone_number": "484-459-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Arrandale Blvd",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412503",
            "country_code": "US",
            "telephone_number": "484-459-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATUM",
        "first_name": "SHARON",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2022-05-03",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011830L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT002763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BENDE",
            "middle_name": "JESSICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.