Individual provider Active NPI

Sharon Opon, PT

  • Physical Therapist
  • Tinley Park, IL
National Provider Identifier
1982728697
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015145 Issued in IL
Practice address
18476 Millennium Dr
Tinley Park, IL 60477-4089
Phone
(630) 991-3219
Fax
(708) 407-8193
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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 070015145 IL Primary
Physical Therapist 225100000X 06190 OR

Addresses

Primary practice location

18476 Millennium Dr
Tinley Park, IL 60477-4089

Mailing address

18476 Millennium Dr
Tinley Park, IL 60477-4089
Phone (630) 991-3219

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

LicenseStateTypeSpecialty
070015145ILMDPhysical Therapist
06190ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1982728697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18476 MILLENNIUM DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774089",
            "telephone_number": "630-991-3219",
            "fax_number": "708-407-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18476 MILLENNIUM DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774089",
            "telephone_number": "630-991-3219",
            "fax_number": "708-407-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPON",
        "first_name": "SHARON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015145",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.