Amy N Sheridan, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17676 Issued in MA

Practice address

505 Boylston Street
Boston, MA 02116-3706

Phone

(617) 266-2664

Fax

(617) 266-2674

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT 360 IncGroup PAC ID 0749469906, 18 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT 360 Inc

  • Physical Therapist
  • Williston, VT
  • NPI 1609183177
  Medicare reassignment Care Compare group NPD
• Kennedy Brothers Physical Therapy Inc.

  • Physical Therapist
  • Watertown, MA
  • NPI 1811063803
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427196377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BOYLSTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163706",
            "telephone_number": "617-266-2664",
            "fax_number": "617-266-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BOYLSTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163706",
            "telephone_number": "617-266-2664",
            "fax_number": "617-266-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sherer, M.D.
• Niloufar Sherf, DDS
• Arvind Kaur Shergill, MBBS DNB FRCPC
• Alexandra Sheridan, CRNA
• Alice M Sheridan, M.D.
• Corinne L Sheridan, NP
• Emily Alyce Sheridan, CRNA
• Jenna Sheridan, PA-C
• Jennifer L Sheridan, PA-C
• Kara Jillian Sheridan, LMHC

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.