Active NPI
Sharon Jefferson, PT
- Physical Therapist
- Canonsburg, PA
National Provider Identifier
1972675122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005935L
- Practice address
- 100 Medical Blvd
Canonsburg, PA 15317-9762 - Phone
- (724) 745-3919
- NPI assigned
- Nov 14, 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 | PT005935L | PA | Primary |
Addresses
Primary practice location
100 Medical Blvd
Canonsburg, PA 15317-9762
Mailing address
100 Medical Blvd
Canonsburg, PA 15317-9762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558757 | Other | PA | HIGHMARK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005935L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972675122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL BLVD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153179762",
"telephone_number": "724-745-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "SHARON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005935L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "558757",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.