ELIZABETH SHARK ATC
NPI 1407227689
Specialist/Technologist - Athletic Trainer in Clinton Twp, MI

Q: What is Elizabeth Shark's NPI number?

The NPI number for Elizabeth Shark is 1407227689. It was assigned to this individual provider in the NPPES registry on October 13, 2015. The provider is also known as Elizabeth Landa.

Q: What is Elizabeth Shark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Shark was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2015

15520 19 MILE RD STE 450, CLINTON TWP, MI 48038(586) 416-2000(586) 416-2013 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Elizabeth Shark Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH SHARK ATC (NPI 1407227689) is an individual athletic trainer provider in Clinton Twp, Michigan, licensed in Michigan (2601001454) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1407227689

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameELIZABETH SHARKCredential: ATC

Location Address15520 19 MILE RD STE 450Clinton Twp, MI 48038-6332

Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258

Phone(586) 416-2000

Fax(586) 416-2013

Sole ProprietorNo

Enumeration DateOctober 13, 2015

Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1407227689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MI · 2601001454

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

15520 19 MILE RD STE 450, Clinton Twp, MI 48038

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Other Names 1

Former Name (1)Elizabeth Landa

Other Identifiers 1

Other2601001454MI · State Of Michigan

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SKYE VERSCHURE PT, DPT

Physical Therapist

15520 19 MILE RD STE 450
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 416-2000

SARAH J POSSON DPT

Physical Therapist

15520 19 MILE RD STE 450
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 416-2000

TIMOTHY HUMBACH DPT

Physical Therapist

15520 19 MILE RD STE 450
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 416-2000

SHANNON NICOLE KAYE ORTIZ ATC

Specialist/Technologist (Athletic Trainer)

15520 19 MILE RD STE 450
CLINTON TWP, MI 48038

Macomb County (586) 416-2000

MARY LANE PTA

Physical Therapy Assistant

15520 19 MILE RD STE 450
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 416-2000

KIMLEE UNG DPT

Physical Therapist

15520 19 MILE RD STE 450
CLINTON TWP, MI 48038

Macomb County (586) 416-2000

MISS MACKENZIE ELIZABETH KLINE PTA

Physical Therapy Assistant

15520 19 MILE RD STE 450
CLINTON TOWNSHIP, MI 48038

Macomb County (586) 416-2000

MRS. SHANNON MARIE STERMER DPT

Physical Therapist

15520 19 MILE RD STE 450
CLINTON TWP, MI 48038

Macomb County (586) 416-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Shark's NPI number?

The NPI number for Elizabeth Shark is 1407227689. It was assigned to this individual provider in the NPPES registry on October 13, 2015. The provider is also known as Elizabeth Landa.

Where is Elizabeth Shark located?

Elizabeth Shark practices at 15520 19 Mile Rd Ste 450, Clinton Twp, MI 48038. The listed phone number is (586) 416-2000.

What is Elizabeth Shark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Elizabeth Shark was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.