Michael Dean Sherman, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AT 4524 Issued in CA

Practice address

6713 Morro Rd
Atascadero, CA 93422-4137

Phone

(805) 461-5514

NPI assigned

Feb 10, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1184863417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 LINCOLN ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052334",
            "telephone_number": "805-542-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224137",
            "telephone_number": "805-461-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "AT 4524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CA",
            "identifier": "AT4524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sheedy
• Angie Shenouda, PSY.D.
• Jeffrey Clinton Shepherd, D.D.S.
• Breanna Jo Sheppard, SUDRC
• Karen Sue Sheppard, PHD
• Georgina Shimek
• Lindsay Keegan Siddons
• Raymond J Siddons, MFT
• Anup Singh Sidhu, MD
• Shayla Renee Sieck

• Physical Medicine & Rehabilitation Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.