Healthcare Provider Details

I. General information

NPI: 1659464980
Provider Name (Legal Business Name): SHARON SUE TEBBE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N ELM ST
HIGH POINT NC
27262-3917
US

IV. Provider business mailing address

5737 NATCHEZ TRACE RD
FRANKLIN TN
37064-9214
US

V. Phone/Fax

Practice location:
  • Phone: 615-509-4670
  • Fax:
Mailing address:
  • Phone: 615-794-9865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number485
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number11165
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: