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1245581776 NPI number — SHARI JONES PHYSICAL THERAPY INC

NPI Number: 1245581776
Health Care Provider/Practitioner: SHARI JONES PHYSICAL THERAPY INC

Information about “1245581776” NPI (SHARI JONES PHYSICAL THERAPY INC) exists in 1245581776 in HTML format HTML  |  1245581776 in plain Text format TXT  |  1245581776 in PDF (Portable Document Format) PDF  |  1245581776 in an XML format XML  formats.

NPI Number : 1245581776 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245581776",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHARI JONES PHYSICAL THERAPY INC",
    "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": "2327 S 48TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "QUINCY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62305-6691",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-430-6865",
    "MailingAddressFaxNumber": "888-284-2027",
    "FirstLinePracticeLocationAddress": "804 STATE ST UNIT 7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "QUINCY",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62301-4968",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-430-6865",
    "PracticeLocationAddressFaxNumber": "888-284-2027",
    "EnumerationDate": "09/24/2012",
    "LastUpdateDate": "09/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSPT",
    "AuthorizedOfficialTelephoneNumber": "217-430-6865",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2081P0010X",
        "TaxonomyName": "Pediatric Rehabilitation Medicine Physician",
        "LicenseNumber": "070-009457",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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