Active NPIIndividual provider

Mrs. Shari D Botta, PTA

Physical Therapy Assistant in Succasunna, New Jersey

NPI Number1174967624
Practice location
66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345
Fax
—
Last updated
April 25, 2013

Shari Dawn Botta is a Physical Therapy Assistant based in Succasunna, NJ. Shari Dawn Botta practices in Succasunna, NJ and has the professional credentials of PTA. The NPI Number for Shari Dawn Botta is 1174967624 and holds a License No. 40QB00147300 (NJ). The current practice location address for Shari Dawn Botta is 66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345 and can be reached out via phone at 908-684-3005.

Provider Profile Details

NPI Number
1174967624
Provider Name
Shari Dawn Botta
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345
Phone Number
908-684-3005
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2013
Last Update Date
April 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Sunset Strip
Suite 400 Town Center
Succasunna, NJ 07876-1345
Zip
07876-1345
Phone Number
908-684-3005
Succasunna, NJ 07876Get directions →

Provider Business Mailing Address Details

Address
66 Sunset Strip
Suite 400 Town Center
Succasunna, NJ 07876-1345
City
Succasunna
State
NJ
Zip
07876-1345
Phone Number
908-684-3005

License Information

License Number
40QB00147300
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Shari D Botta, PTA?

The NPI number of Mrs. Shari D Botta, PTA is 1174967624. It was assigned on April 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shari D Botta, PTA?

Mrs. Shari D Botta, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00147300.

Where does Mrs. Shari D Botta, PTA practice?

The practice location is 66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345. The office can be reached at 908-684-3005 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174967624 directly on the NPPES registry website.

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