Robert Sheriffs

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20896 Issued in FL

Practice address

149 Spinner Dr
Ponte Vedra, FL 32081-1216

Phone

(239) 398-3225

NPI assigned

Jun 11, 2025

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2025.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1093600769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SPINNER DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811216",
            "telephone_number": "239-398-3225",
            "fax_number": "239-398-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SPINNER DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811216",
            "telephone_number": "239-398-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFFS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "20896",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "20896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C Serlo, MPT
• Kevin Shaddock, DPT
• Tierney Shaffer, LCSW
• Parvonae Shaw, PSY.D.
• Chelsea Shea, MA, LMHC
• Shukrana LLC
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• Sol Renewed Health, LLC
• Solantic of Jacksonville, LLC
• David Wallace Sorensen, DMD

• All providers in Ponte Vedra, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.