Sheri Lynn White-Hackley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14632 Issued in CA

Practice address

31740 Cedar St
Fort Bragg, CA 95437-3922

Phone

(707) 961-1606

NPI assigned

Oct 13, 2008

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

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.

• Hackley Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fort Bragg, CA
  • NPI 1235316993
  NPD (past) Authorized official

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1306098108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31740 CEDAR ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373922",
            "telephone_number": "707-961-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31740 CEDAR ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373922",
            "telephone_number": "707-961-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-HACKLEY",
        "first_name": "SHERI",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Aden Wansbury, MFT
• Magdalena Weinstein
• Caroline Wells, PA-C
• Elizabeth Wells, DC
• Faye Whatley, IHP
• Katharine L. White, LMFT
• Neil Steven Wilensky, D.D.S.
• William M Mahon & Jeffrey M Kraut
• William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric MDCL GRP
• Matthew Simon Winslow

• Physical Therapist in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.