Jacob Sherrod

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10756 Issued in TN

Practice address

300 Market Dr Ste 102a
Lenoir City, TN 37771-6408

Phone

(865) 988-7610

Fax

(865) 988-6636

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1023720356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-269-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARKET DR STE 102A",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716408",
            "telephone_number": "865-988-7610",
            "fax_number": "865-988-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERROD",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Bailey Sexton
• Jesse Shakarian, D.C.
• Jonathan C. Shaver, MD
• Rachel Ann Shelton, CPHT
• Emily Elaine Sheridan
• Keisha Marie Shervington, LCSW
• Kevin P Sheth, DO
• Milan N Sheth, M.D.
• Andrea Megan Shoemaker, CPNP
• Bobby Allen Shugart, PHARMACIST

• Physical Therapist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.