NPI Code Detail JSON Logo

1174086540 NPI number — SHARPE WELLNESS & THERAPY LLC

NPI Number: 1174086540
Health Care Provider/Practitioner: SHARPE WELLNESS & THERAPY LLC

Information about “1174086540” NPI (SHARPE WELLNESS & THERAPY LLC) exists in 1174086540 in HTML format HTML  |  1174086540 in plain Text format TXT  |  1174086540 in PDF (Portable Document Format) PDF  |  1174086540 in an XML format XML  formats.

NPI Number : 1174086540 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174086540",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHARPE WELLNESS & THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "707 CYPRESS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST STROUDSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18302-6657",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-519-0472",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "528 SEVEN BRIDGE RD UNIT 101A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST STROUDSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18301-7621",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-519-0472",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/11/2019",
    "LastUpdateDate": "04/11/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHARPE",
    "AuthorizedOfficialFirstName": "SARITA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSPT",
    "AuthorizedOfficialTelephoneNumber": "646-519-0472",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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