Provider Demographics
NPI:1639141831
Name:CHAPMAN, SHARI A (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:A
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 85TH AVENUE CIR E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-1905
Mailing Address - Country:US
Mailing Address - Phone:941-756-1003
Mailing Address - Fax:941-756-6003
Practice Address - Street 1:3911 GOLF PARK LOOP
Practice Address - Street 2:SUITE 105
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-3453
Practice Address - Country:US
Practice Address - Phone:941-756-1003
Practice Address - Fax:941-756-6003
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY902FOtherBCBS