Active NPI
Sheryl Schuck Broadright, P.T., C/NDT
- Pediatric Physical Therapist
- Raleigh, NC
National Provider Identifier
1336827682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4998
- Practice address
- 7724 Highlandview Circle
Raleigh, NC 27613 - Phone
- (919) 805-0083
- NPI assigned
- Jul 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4998 | NC | Primary |
Addresses
Primary practice location
7724 Highlandview Circle
Raleigh, NC 27613
Mailing address
7724 Highlandview Circle
Raleigh, NC 27613
Phone (919) 805-0083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4998 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1336827682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7724 HIGHLANDVIEW CIRCLE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27613",
"telephone_number": "919-805-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7724 HIGHLANDVIEW CIRCLE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27613",
"telephone_number": "919-805-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADRIGHT",
"first_name": "SHERYL",
"middle_name": "SCHUCK",
"name_prefix": "Mrs.",
"credential": "P.T., C/NDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "4998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.