Individual provider Active NPI

Philip Maurice Sherrick Jr., OTR/L, CHT

  • Occupational Therapist
  • Manhattan, KS
National Provider Identifier
1073712196
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
315 S Seth Child Rd
Manhattan, KS 66502-3003
Phone
(785) 643-1517
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KS Primary

Addresses

Primary practice location

315 S Seth Child Rd
Manhattan, KS 66502-3003

Mailing address

11969 E Kansas Ave
Riley, KS 66531-9666
Phone (785) 643-1517

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1073712196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11969 E KANSAS AVE",
            "city": "RILEY",
            "state": "KS",
            "postal_code": "665319666",
            "telephone_number": "785-643-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003",
            "telephone_number": "785-643-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRICK",
        "first_name": "PHILIP",
        "middle_name": "MAURICE",
        "name_suffix": "Jr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.