Provider Demographics
NPI:1821231762
Name:SHARBAUGH, LINDSEY MICHELE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MICHELE
Last Name:SHARBAUGH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BEACHLEY ST
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-1222
Mailing Address - Country:US
Mailing Address - Phone:814-483-7130
Mailing Address - Fax:
Practice Address - Street 1:300 BEACHLEY ST
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1222
Practice Address - Country:US
Practice Address - Phone:814-634-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019305225100000X
MD23394225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102643100-0002Medicaid
PA102643100-0001Medicaid
MD4411668-00Medicaid
PA102643100-0001Medicaid
PA061783Medicare PIN