Organization Active NPI

Sherry Sewrathan-Ghosh DO PA

  • Physical Medicine & Rehabilitation Physician
  • Bryan, TX
National Provider Identifier
1134670409
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SHERRY SEWRATHAN-GHOSH DO PA
Practice address
1600 Joseph Dr
Ste 1516
Bryan, TX 77802-1502
Phone
(979) 821-7527
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Sherry Sewrathan-Ghosh, DONPI 1477577815
Title
President
Phone
(979) 821-7527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1600 Joseph Dr
Ste 1516
Bryan, TX 77802-1502

Mailing address

1600 Joseph Dr
Ste 1516
Bryan, TX 77802-1502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161203000038 TX Part B Supplier - Clinic/Group Practice 9436439775 Receives reassigned benefits from 1 practitioner
Practice locations: Bryan, TX

National Provider Directory

National Provider Directory

Locations

1600 Joseph Dr
Ste 1516
Bryan, TX 77802
Phone (979) 353-1126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1134670409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "address_2": "STE 1516",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "address_2": "STE 1516",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502",
            "telephone_number": "979-821-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY SEWRATHAN-GHOSH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SEWRATHAN-GHOSH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-821-7527",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.