Provider Demographics
NPI:1093896599
Name:FAINI, SHARON HILL (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:HILL
Last Name:FAINI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:SHANEY
Other - Middle Name:HILL
Other - Last Name:FAINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSCIAL THERAPIST
Mailing Address - Street 1:40 BARRINGTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-233-8529
Mailing Address - Fax:
Practice Address - Street 1:2203 NATIONAL ROAD
Practice Address - Street 2:OHIO COUNTY SCHOOLS
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV436225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV7302061000Medicaid