Active NPI
Cheryl Herrick, P.T.
- Physical Therapist
- Port Angeles, WA
National Provider Identifier
1417245341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60225050
- Practice address
- 1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640 - Phone
- (360) 452-9206
- Fax
- (360) 457-2935
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60225050 | WA | Primary |
| Physical Therapist | 225100000X | 24829 | FL | |
| Physical Therapist | 225100000X | 1203608 | TX |
Addresses
Primary practice location
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Mailing address
12410 SW 113TH Ave
Miami, FL 33176-4408
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24829 | FL | MD | Physical Therapist |
| 1203608 | TX | MD | Physical Therapist |
| 60225050 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1417245341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 SW 113TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331764408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 E LAURIDSEN BLVD",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626640",
"telephone_number": "360-452-9206",
"fax_number": "360-457-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRICK",
"first_name": "CHERYL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60225050",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24829",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1203608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.