=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245581776
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHARI JONES PHYSICAL THERAPY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2012
-----------------------------------------------------
Last Update Date | 09/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 804 STATE ST UNIT 7
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62301-4968
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-430-6865
-----------------------------------------------------
Fax | 888-284-2027
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2327 S 48TH ST
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 62305-6691
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-430-6865
-----------------------------------------------------
Fax | 888-284-2027
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SHARON LYNN JONES
-----------------------------------------------------
Credential | MSPT
-----------------------------------------------------
Telephone | 217-430-6865
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2081P0010X
-----------------------------------------------------
Taxonomy Name | Pediatric Rehabilitation Medicine Physician
-----------------------------------------------------
License Number | 070-009457
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------