Individual provider Active NPI

Sherri Lynne Wormser, RPT

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1154656312
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL-8363 Issued in CO
Practice address
1401 Main Ave Unit a
Durango, CO 81301-5194
Phone
(970) 259-5776
Fax
(970) 259-9975
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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 PTL-8363 CO Primary

Addresses

Primary practice location

1401 Main Ave Unit a
Durango, CO 81301-5194

Mailing address

7550 W Emerald St Ste 101
Boise, ID 83704-9015
Phone (208) 375-0666

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3508AZMDPsychiatry Physician
PTL-8363COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1154656312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W EMERALD ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049015",
            "telephone_number": "208-375-0666",
            "fax_number": "208-685-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MAIN AVE UNIT A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015194",
            "telephone_number": "970-259-5776",
            "fax_number": "970-259-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMSER",
        "first_name": "SHERRI",
        "middle_name": "LYNNE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-8363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.