Stanton William Sheridan II, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00710100 Issued in NJ

Practice address

77 Madison Ave
Morristown, NJ 07960-7330

Phone

(973) 540-9800

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawthorne Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Hawthorne, NJ
  • NPI 1598418675
  NPD Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1386015410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E RIDGEWOOD AVE",
            "address_2": "APT 2H",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503334",
            "telephone_number": "262-880-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607330",
            "telephone_number": "973-540-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "STANTON",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00710100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin T. Shen, M.D.
• Lena Sheorey
• Laura Shepherd
• Lynda Helen Sheppard, RNPC
• Julianna Sher, OD
• Garry Sherman, DPM
• Avni Sheth
• Milan P Sheth, M.D.
• Esther Shim, MD
• Pheodora Shin, MD

• Occupational Therapist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.