Sheridan Proctor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

123691 Issued in TX

Practice address

17516 Matany Rd
Justin, TX 76247-8707

Phone

(940) 654-4011

NPI assigned

May 26, 2025

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Therapedia, LLC

  • Physical Therapy Clinic/Center
  • Keller, TX
  • NPI 1881813343
  NPD (past)

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1164215877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 STROUD ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17516 MATANY RD",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762478707",
            "telephone_number": "940-654-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "SHERIDAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Oswalt, M.S., CCC-SLP
• Yatinkumar Panchal, PT, DPT
• Umangi Pandit
• Darbi Poe, MS/CCC-SLP
• Kassandra Priego
• Kris T. Pyles-Sweet, PA-C
• Christopher D. Regan, PSY.D.
• Morgan Retton
• Rnfa Surgical Specialists, P.C.
• Kathleen Elizabeth Roscoe, RBT

• Speech-Language Pathologist in Justin, TX
• Providers in Justin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.