Individual provider Active NPI

Sheryl Maureen Flynn, P.T., PH.D.

  • Physical Therapist
  • Altadena, CA
National Provider Identifier
1396941514
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33704 Issued in CA
Practice address
2400 Lincoln Ave Ste 118
Altadena, CA 91001-5479
Phone
(626) 296-6400
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33704 CA Primary

Addresses

Primary practice location

2400 Lincoln Ave Ste 118
Altadena, CA 91001-5479

Mailing address

2400 Lincoln Ave Ste 118
Altadena, CA 91001-5479
Phone (626) 296-6400

Other names 1

  • Dr. Sheryl Maureen Ashford Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT33704CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tether PC CurrentSince Jan 12, 2025 Accepting new patients

Locations

2400 Lincoln Ave
Ste 118
Altadena, CA 91001
Phone (310) 913-5707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1396941514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LINCOLN AVE STE 118",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015479",
            "telephone_number": "626-296-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LINCOLN AVE STE 118",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910015479",
            "telephone_number": "626-296-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHERYL",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "P.T., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "ASHFORD",
            "middle_name": "MAUREEN",
            "prefix": "DR.",
            "credential": "P.T., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.