Shari L Ealy, MMT is a
Occupational Therapy Assistant based in Porter, Indiana. Shari L Ealy is licensed to practice in Indiana (license number 32002449A) and her current practice location is
1040 Sievert St, Porter, Indiana. She can be reached at her office (for appointments etc.) via phone at
(517) 420-2550.
NPI number for Shari L Ealy is 1124274758 and her current mailing address is 1040 Sievert St, Porter, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124274758.
Healthcare Provider's Profile
| Full Name | Shari L Ealy |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapy Assistant |
|---|
| Location | 1040 Sievert St, Porter, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124274758
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 07/09/2013
Medical Identifiers
Medical identifiers for Shari L Ealy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124274758 | NPI | - | NPPES |
| 32002449A | Other | IN | STATE OF INDIANA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | N/A (Michigan) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | 32002449A (Indiana) | Primary |
| 224Z00000X | Occupational Therapy Assistant | 057003828 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shari L Ealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shari L Ealy, MMT
1040 Sievert St,
Porter, IN 46304-1308
Ph: (517) 420-2550 | Shari L Ealy, MMT
1040 Sievert St,
Porter, IN 46304-1308
Ph: (517) 420-2550 |
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