Active NPI
Sherrie Denise Nichols, LPTA
- Physical Therapy Assistant
- Stuart, FL
National Provider Identifier
1124352547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1449
- Practice address
- 1500 Palm Beach Rd
Stuart, FL 34994-4044 - Phone
- (772) 286-8336
- Fax
- (772) 221-7941
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1449 | FL | Primary |
Addresses
Primary practice location
1500 Palm Beach Rd
Stuart, FL 34994-4044
Mailing address
139 SW Linden St
Stuart, FL 34997-6319
Phone (772) 233-0728
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1449 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1124352547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SW LINDEN ST",
"city": "STUART",
"state": "FL",
"postal_code": "349976319",
"telephone_number": "772-233-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PALM BEACH RD",
"city": "STUART",
"state": "FL",
"postal_code": "349944044",
"telephone_number": "772-286-8336",
"fax_number": "772-221-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "SHERRIE",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA1449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.