Active NPI
Robert Wayne Sherrill, PT, CHT
- Hand Physical Therapist
- Cape Girardeau, MO
National Provider Identifier
1073646170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- 103313
- Practice address
- 3047 William St
Cape Girardeau, MO 63703-6393 - Phone
- (573) 339-5989
- Fax
- (573) 339-7092
- NPI assigned
- Mar 14, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 103313 | MO | |
| Orthopedic Physical Therapist | 2251X0800X | 103313 | MO | |
| Hand Physical Therapist | 2251H1200X | 103313 | MO | Primary |
Addresses
Primary practice location
3047 William St
Cape Girardeau, MO 63703-6393
Mailing address
3047 William St Ste 100
Cape Girardeau, MO 63703-6569
Phone (573) 339-5989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010157204 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@midamericarehab.com | Direct | |
| Direct Messaging Address | info@midamericarehab.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3047 William St
Suite 100
Cape Girardeau, MO 63703-6569
Phone (573) 339-5989
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.55 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103313 | MO | MD | Orthopedic Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Cape Girardeau, MO
- NPI 1639143357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1073646170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3047 WILLIAM ST STE 100",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036569",
"telephone_number": "573-339-5989",
"fax_number": "573-339-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3047 WILLIAM ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036393",
"telephone_number": "573-339-5989",
"fax_number": "573-339-7092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRILL",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"credential": "PT, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "103313",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "103313",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "MO",
"license": "103313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010157204",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@midamericarehab.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3047 William St",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637036393",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@midamericarehab.com",
"affiliation": "N",
"address_1": "3047 William St",
"city": "Cape Girardeau",
"state": "MO",
"country_code": "US",
"postal_code": "637036393",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.