Katie Mara Sheridan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020496 Issued in IL

Practice address

2304 W 95TH St
Chicago, IL 60643-1004

Phone

(773) 233-9570

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baal Perazim Wellness and Health Services PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1376153437
  Medicare reassignment NPD
• Baal Perazim Wellness, Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215403530
  Medicare reassignment NPD
• Solara Therapy, LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1891589925

  Physical Therapist

  Medicare reassignment NPD
• The University of Chicago Medical Center

  • Community/Retail Pharmacy
  • Calumet City, IL
  • NPI 1255895678
  NPD (past)
• Aks of Romeo LLC

  • Physical Therapy Clinic/Center
  • Romeo, MI
  • NPI 1538365945

  Physical Therapist

  NPD (past)
• Healthquest Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1336344068

  Physical Therapist

  NPD (past)
• KRS of Clawson LLC

  • Physical Therapy Clinic/Center
  • Clawson, MI
  • NPI 1194840223
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1396919643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431004",
            "telephone_number": "773-233-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KATIE",
        "middle_name": "MARA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013779",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Shores Care & Rehabilitation Center
• Sheridan Village Nursing and Rehabilitation Center LLC
• Anita Sheridan, CRNA
• Ann Elizabeth Sheridan, M.D.
• Kari Elizabeth Sheridan, MS OTRL
• Maria Damico Sheridan, RN
• Noreen Marie Sheridan, RD. LDN,CDE
• Taylor Sheridan
• Asim Sheriff, M.D.
• Rameeza Sheriff, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.