Active NPI
Sherri Lynn Haber
- Physical Therapist
- Kill Devil Hills, NC
National Provider Identifier
1356921811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20258
- Practice address
- 803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537 - Phone
- (252) 449-4455
- NPI assigned
- Apr 9, 2021
- Last updated
- Apr 9, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20258 | NC | Primary |
Addresses
Primary practice location
803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537
Mailing address
126 Duck Woods Dr
Southern Shores, NC 27949-3605
Phone (757) 241-3690
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20258 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1356921811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 DUCK WOODS DR",
"city": "SOUTHERN SHORES",
"state": "NC",
"postal_code": "279493605",
"telephone_number": "757-241-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 BERMUDA BAY BLVD",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279489537",
"telephone_number": "252-449-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "SHERRI",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kill Devil Hills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.