Jerry Robert Sher

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25702 Issued in CA

Practice address

11740 San Vicente Blvd
#205
Los Angeles, CA 90049-6610

Phone

(310) 820-7602

Fax

(310) 820-7818

NPI assigned

Feb 6, 2007

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Denise Chyette, Physical Therapist, Inc.

  • Physical Therapist
  • Manhattan Beach, CA
  • NPI 1801072319
  Medicare reassignment

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1396885935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LANTANA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD",
            "address_2": "#205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "310-820-7602",
            "fax_number": "310-820-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHER",
        "first_name": "JERRY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeven Sheppard
• Tamara Denise Shepphard
• Sari Shepphird, PH.D.
• Michael Sheps, D.C.
• Jayson Ivan Sher, D.C.
• Linda Sue Sher, MD
• Theo Sher
• Sherbank Azizi Dental Corporation
• Lana Tahmizyan Sherbrooke
• Danielle Sheremetiev, ACSW

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.

Verify at the official NPI Registry.