Sheryl Gwen Josephson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 17631 Issued in FL

Practice address

900 Lpga Blvd
Holly Hill, FL 32117-3113

Phone

(386) 226-9125

NPI assigned

May 21, 2007

Sex

Female

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

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285843870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 OAK HAMMOCK DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296201",
            "telephone_number": "386-761-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LPGA BLVD",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173113",
            "telephone_number": "386-226-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHSON",
        "first_name": "SHERYL",
        "middle_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 17631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hill, PHARMD
• Noel Bryant Hoeck, PT
• Phyllis W Hollandsworth, LMFT
• Holly Hill RHF Housing, Inc
• Corey Hucka, PHARMD
• Randy Kautz, RPH
• Tavon Kellman
• Jonah Kobelin, PHARMD, RPH, CPH
• Elizabeth M. Koman
• Therese Jeanne Leeds, LMT

• Physical Therapy Assistant in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.