NICHOLAS ENZINNA SHARP (NPI# 1750769600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750769600 |
Entity Type | Individual |
Full Name | NICHOLAS ENZINNA SHARP |
Credential | DPT |
Practice Address |
3001 Ivy Dr North Newton KS 67117-8001 |
Mailing Address |
304 Old Colony Ct North Newton KS 67117-8037 |
Practice Telephone | 3168364800 |
Mailing Telephone | 4349426955 |
Enumeration Date | 2015-05-12 |
Last Update Date | 2018-04-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
11-05094 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KANSAS STATE BOARD OF HEALING ARTS CERTIFICATE FOR PHYSICAL THER | 11-05094 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
200 Willow Rd, Hillsboro, KS 670631939 | 6209472301 | |
408 E Main St, Goessel, KS 670535302 | 6203672291 | |
704 S Ash St, Hillsboro, KS 670631506 | 6209472272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700352671 | Nicholas Sharp | Specialist/Technologist | 1870 Quaker Way, Wilmington, OH 45177-2473 | 2018-10-18 |
1528587607 | Nicholas Sharp | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-09-11 |
1952481640 | Nicholas P Sharp | Physical Therapist | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2006-10-17 |
Street Address |
3001 IVY DR |
City | NORTH NEWTON |
State | KS |
Zip Code | 67117-8001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639362080 | Paulette Sue Claeys | Speech-Language Pathologist | 3001 Ivy Dr, North Newton, KS 67117-8005 | 2007-08-20 |
1932723491 | Lydia Samantha Harbutz | Speech-Language Pathologist | 3001 Ivy Dr, North Newton, KS 67117-8001 | 2020-06-01 |
1134509367 | Ashley Nicole Albers | Speech-Language Pathologist | 3001 Ivy Dr, North Newton, KS 67117-8001 | 2015-06-03 |
1922446863 | Ashley Nicole Moseley | Occupational Therapy Assistant | 3001 Ivy Dr, North Newton, KS 67117-8001 | 2013-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093042376 | Stairs, LLC | Case Management | 2505 N Main, North Newton, KS 67117 | 2009-11-07 |
1063476380 | Marilyn Jane Harrold | Nurse Anesthetist, Certified Registered | 2314 Rosewood Ave., North Newton, KS 67117-0176 | 2006-04-13 |
1902292402 | Jerri K. Parsons | Pharmacist | 5 Jasper Ct, North Newton, KS 67117-1717 | 2015-04-10 |
1629068838 | Kidron Bethel Retirement Services, Inc. | Skilled Nursing Facility | 3001 Ivy Drive, North Newton, KS 67117-8002 | 2005-10-27 |
1477015758 | Robert Wiliam Lyles | Specialist/Technologist | 203 W 23rd St, North Newton, KS 67117-8033 | 2019-04-04 |
1568866994 | Lindsa Luinstra | Specialist/Technologist | 300 E 27th St, North Newton, KS 67117-8061 | 2014-10-14 |
1063895969 | Taylor Morris | Specialist/Technologist | 300 E 27th St, North Newton, KS 67117-8061 | 2015-07-09 |
1497132112 | Ian Van Der Weg | Registered Nurse | 307 Lakewood Dr, North Newton, KS 67117-8075 | 2015-05-01 |
1245280437 | George Dyck | Psychiatry & Neurology | 43 Lakewood Cir, North Newton, KS 67117-8104 | 2006-05-11 |
1720255623 | Homer Kelven Mays | Physical Therapist | 2607a Goldenrod Rd, N. Newton, KS 67117-8170 | 2008-05-11 |
Find all providers in zip 67117 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538623988 | Stacie Wiechman | Physical Therapist | 20982 W 116th Ter, Olathe, KS 66061-5679 | 2019-01-29 |
1588153399 | Lisa D Lowe | Physical Therapist | 4000 W 102nd St, Overland Park, KS 66207-3613 | 2018-05-07 |
1346653219 | Alexis Nicole Michel | Physical Therapist | 2727 N Rock Rd, Wichita, KS 67226-1128 | 2014-06-08 |
1841560174 | Debbie Sue Ortega | Physical Therapist | 110 S Grand St, Mcpherson, KS 67460-4430 | 2012-01-03 |
1881912905 | Elizabeth Suzann Stewart | Physical Therapist | 141 Se 40th St, Topeka, KS 66609-1427 | 2010-05-13 |
1245440296 | Karen Sue Anderson | Physical Therapist | 240 W. 19th Street, Fredonia, KS 67047-1718 | 2007-05-22 |
1891901989 | Robin Suzanne Hodges | Physical Therapist | 636f E Shipton Rd, Salina, KS 67401-9322 | 2007-05-15 |
1437173200 | Natalie B. Merten | Physical Therapist | 622 N. Edgemoor St, Wichita, KS 67208-1234 | 2006-07-26 |
1689200602 | Pamela Kaye Persons | Physical Therapist | 1655 S Georgetown St, Wichita, KS 67218-4140 | 2020-03-21 |
1912562679 | Amanda Lynn Cook | Physical Therapist | 12500 W 137th St, Overland Park, KS 66221-4183 | 2019-05-07 |
Find all providers with the same taxonomy |
City | NORTH NEWTON |
Zip Code | 67117 |
Please comment or provide details below to improve the information on NICHOLAS ENZINNA SHARP.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.