Active NPI
Jeremy F Sherman, PT
- Physical Therapist
- Medford, WI
National Provider Identifier
1013159649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11675-24
- Practice address
- 640 S 8TH St
Medford, WI 54451-2017 - Phone
- (715) 359-6442
- Fax
- (715) 393-0390
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8451 | AZ | |
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 11675-24 | WI | Primary |
Addresses
Primary practice location
640 S 8TH St
Medford, WI 54451-2017
Mailing address
640 S 8TH St
Medford, WI 54451-2017
Phone (715) 359-6442
Other practice location 1
225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone (715) 359-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 S 8TH St
Medford, WI 54451-2017
Phone (800) 445-6442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11675-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone & Joint Clinic S.C. | Physical Therapist | Current | Accepting new patients |
| Bone & Joint Clinic S.C. | Current | Accepting new patients |
Locations
640 S 8th St
Medford, WI 54451
Phone (715) 748-5203
225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Wausau, WI
- NPI 1982306726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1013159649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S 8TH ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544512017",
"telephone_number": "715-359-6442",
"fax_number": "715-393-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S 8TH ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544512017",
"telephone_number": "715-359-6442",
"fax_number": "715-393-0390"
}
],
"practiceLocations": [
{
"address_1": "225000 Hummingbird Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544012950",
"country_code": "US",
"telephone_number": "715-359-6442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERMAN",
"first_name": "JEREMY",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8451",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11675-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.