Active NPI
William Blake Sherman, DPT
- Orthopedic Physical Therapist
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT5395
- Practice address
- 2260 Highway 15 N
Laurel, MS 39440-1833 - Phone
- (601) 399-6340
- NPI assigned
- Feb 16, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT5395 | MS | Primary |
Addresses
Primary practice location
2260 Highway 15 N
Laurel, MS 39440-1833
Mailing address
195 Ellisville Turner Rd
Ellisville, MS 39437-8439
Phone (601) 906-0249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Bone & Joint Specialists, PA | Current | Accepting new patients | |
| Southern Bone & Joint Specialists | Current | Accepting new patients | |
| Southern Bone & Joint Specialists, PA | Past | Accepting new patients |
Locations
1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070
3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451
528 N 15th Ave
Ste A
Laurel, MS 39440
Interoperability endpoints
- william.sherman.p1@direct.southernboneandjoint.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hattiesburg, MS
- NPI 1831110725
-
- Orthopaedic Surgery Physician
- Brookhaven, MS
- NPI 1881477354
-
- Orthopaedic Surgery Physician
- Laurel, MS
- NPI 1396528667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1356096549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 ELLISVILLE TURNER RD",
"city": "ELLISVILLE",
"state": "MS",
"postal_code": "394378439",
"telephone_number": "601-906-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 HIGHWAY 15 N",
"city": "LAUREL",
"state": "MS",
"postal_code": "394401833",
"telephone_number": "601-399-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "WILLIAM",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MS",
"license": "PT5395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.