Active NPI
Sharon Lola Richards, PT
- Physical Therapist
- Fairbanks, AK
National Provider Identifier
1952324618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 91
- Practice address
- 2555 Phillips Field Rd
Suite 202
Fairbanks, AK 99709-3933 - Phone
- (907) 456-5990
- Fax
- (907) 374-8023
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 91 | AK | Primary |
Addresses
Primary practice location
2555 Phillips Field Rd
Suite 202
Fairbanks, AK 99709-3933
Mailing address
2555 Phillips Field Rd
Suite 202
Fairbanks, AK 99709-3933
Phone (907) 456-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029607 | Medicaid | AK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91 | AK | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1952324618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 PHILLIPS FIELD RD",
"address_2": "SUITE 202",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093933",
"telephone_number": "907-456-5990",
"fax_number": "907-374-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 PHILLIPS FIELD RD",
"address_2": "SUITE 202",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093933",
"telephone_number": "907-456-5990",
"fax_number": "907-374-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SHARON",
"middle_name": "LOLA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "91",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029607",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.