Active NPI
Catherine Penelope Rivard-Sherman, PT
- Physical Therapist
- Golden Valley, MN
National Provider Identifier
1154640654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4168
- Practice address
- 3915 Golden Valley Rd
Golden Valley, MN 55422-4249 - Phone
- (763) 588-0811
- NPI assigned
- May 24, 2010
- 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 Therapist | 225100000X | 4168 | MN | Primary |
Addresses
Primary practice location
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Mailing address
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone (763) 588-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Physical Therapist | Current | Accepting new patients |
| Optage Inc | Physical Therapist | Current | Accepting new patients |
| Optage Inc | Physical Therapist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
Organizations & group practices 3
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": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1154640654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "763-588-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "763-588-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD-SHERMAN",
"first_name": "CATHERINE",
"middle_name": "PENELOPE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.