Forest Ann Sherk, MOTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

31004723A Issued in IN

Practice address

5404 Georgetown Rd
Indianapolis, IN 46254-3781

Phone

(317) 291-5404

NPI assigned

May 5, 2015

Last updated

May 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1396122719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 COURTYARD CRES",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462343152",
            "telephone_number": "574-261-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 GEORGETOWN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543781",
            "telephone_number": "317-291-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERK",
        "first_name": "FOREST",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31004723A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystin Chanelle Sheridan, ANP
• Stephanie N Sheridan
• Hend Sherif, DMD
• Jeanna Rochell Sheriff
• Mohamed Sheriff
• J Nathan Sherlock, M.D.
• Lori Beth Sherlock, L.AC, DIPL.OM
• Sherman Westend Dental LLC (Westend Dental)
• Courtney D Sherman, LMHCA
• Kathleen Sherman

• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.