Individual provider Active NPI

Shari Herschenhorn, PT

  • Orthopedic Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1033130489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT0010725 Issued in FL
Practice address
1401 NW 9TH Ave
Boca Raton, FL 33486-1304
Phone
(561) 395-2117
Fax
(561) 395-4551
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT0010725 FL Primary

Addresses

Primary practice location

1401 NW 9TH Ave
Boca Raton, FL 33486-1304

Mailing address

2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944
Phone (561) 395-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0010725FLMDOrthopedic Physical Therapist

Interoperability endpoints

  • Direct secure messaging: acerra@osa.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033130489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 216",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117",
            "fax_number": "561-395-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NW 9TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861304",
            "telephone_number": "561-395-2117",
            "fax_number": "561-395-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHENHORN",
        "first_name": "SHARI",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT0010725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.