Individual provider Active NPI

Sheridan Mottet, PT, DPT

  • Physical Therapist
  • Ellisville, MO
National Provider Identifier
1144844135
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6779 Issued in ID
Practice address
322 Old State Rd
Ellisville, MO 63021-5917
Phone
(636) 227-3431
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-6779 ID Primary

Addresses

Primary practice location

322 Old State Rd
Ellisville, MO 63021-5917

Mailing address

5900 Beechwood CT
Parkville, MO 64152-4365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220324000897 MO Practitioner - Physical Therapist in Private Practice 1759776966 Reassigns benefits to 2 organizations
I20250611003300 FL Practitioner - Physical Therapist in Private Practice 1759776966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

Practice addresses (Care Compare)

3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6779IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 21, 2022 Accepting new patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince May 9, 2025 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients

Locations

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

2580 Norterre Cir
Liberty, MO 64068
Phone (816) 407-9890

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1144844135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BEECHWOOD CT",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641524365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 OLD STATE RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630215917",
            "telephone_number": "636-227-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTET",
        "first_name": "SHERIDAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.