Sheryl Landstrom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

32810 N 3100 East Rd
Dwight, IL 60420-8078

Phone

(815) 584-1819

NPI assigned

Apr 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sheryl Lucus Former name

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.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1093988693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32810 N 3100 EAST RD",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604208078",
            "telephone_number": "815-584-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32810 N 3100 EAST RD",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604208078",
            "telephone_number": "815-584-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSTROM",
        "first_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "LUCUS",
            "prefix": "DR.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Hoffart, OTR/L
• Cynthia Ann Humbert, DDS
• Illinois Department of Human Services
• Kodo Care, Inc.
• Laura E Lamere, COTA/L
• Kelly Martin, OTR/L
• Michael C Cichon
• Claude P Owikoti, P.A.
• Mark A Passerman, DO
• Saint James Hospital

• All providers in Dwight, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.