Healthcare Provider Details

I. General information

NPI: 1811999022
Provider Name (Legal Business Name): SHARON ELIZABETH FARRELL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON ELIZABETH WALSH FARRELL PT

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6264 E GRANT ROAD BORDEN PHYSICAL THERAPY, LLC
TUCSON AZ
85712-5882
US

IV. Provider business mailing address

2850 N COUNTRY CLUB RD
TUCSON AZ
85716-1910
US

V. Phone/Fax

Practice location:
  • Phone: 520-884-0001
  • Fax: 520-884-0199
Mailing address:
  • Phone: 520-322-6274
  • Fax: 520-884-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1602
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: