Sharon Beth Wentworth, DPT, MSPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00803600 Issued in NJ

Practice address

1540 West Park Ave.
Suite 4
Tinton Falls, NJ 07712

Phone

(732) 544-0011

Fax

(732) 544-1115

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Jersey Rehabilitation

  • Multi-Specialty Clinic/Center
  • Shrewsbury, NJ
  • NPI 1013801604
  Medicare reassignment NPD (past)
• Elite Sports Physical Therapy

  • Physical Therapist
  • Tinton Falls, NJ
  • NPI 1649590035
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1982812673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 WEST PARK AVE.",
            "address_2": "SUITE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-544-0011",
            "fax_number": "732-544-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 WEST PARK AVE.",
            "address_2": "SUITE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-544-0011",
            "fax_number": "732-544-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "SHARON",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPT, MSPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00803600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wardell Gardens Rehab Center LLC
• Kenneth B Wasser, M.D.
• Waters & Sims Employment Services Inc.
• Deborah Wayne, MS, OT
• Wellbeing Center, LLC
• Westwood Chiropractic Center
• WG Tinton Falls SH, LLC
• Jesse Whitehead Jr., PSY.D
• Jessica Wicki, MSW, LCSW
• Christopher John Williamson, PSY.D.

• Physical Therapist in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.