John Sheridan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04129201 Issued in NY

Practice address

125 W Shore Rd
Huntington, NY 11743-2042

Phone

(631) 944-3134

Fax

(631) 944-3136

NPI assigned

Aug 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jas Physical Therapy PLLCGroup PAC ID 3274996004, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jas Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Huntington, NY
  • NPI 1871209023

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Lifestyle Physical Therapy, LLC

  • Physical Therapist
  • New York, NY
  • NPI 1023533619
  Medicare reassignment NPD
• Long Island Premier Physical & Aquatic Therapy LLC

  • Specialist
  • Lindenhurst, NY
  • NPI 1639319122
  Medicare reassignment NPD
• Lifestyle Rehabilitation LLC

  • Physical Therapist
  • New York, NY
  • NPI 1578431086
  NPD
• Balanced Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Gloversville, NY
  • NPI 1144625401

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1154876399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 IRVING RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117014029",
            "telephone_number": "516-356-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SHORE RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432042",
            "telephone_number": "631-944-3134",
            "fax_number": "631-944-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04129201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Alphonsus Shea, DDS
• Eileen P Sheehy, MD
• Susan Sheen
• Michael Sheinis, D.D.S.
• Daniel Warren Sherer, M.D.
• Holly Shimer
• Jung Shin
• Paul W. Shineman, M.D.
• Shiney Smilesltd
• Shore Dental Solutions

• Physical Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.