Cheryl Newberry

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.002776 Issued in IL

Practice address

900 W River PL
Kankakee, IL 60901-2932

Phone

(815) 933-1711

NPI assigned

Feb 17, 2023

Last updated

Feb 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1437857596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MARKET ST",
            "city": "MOMENCE",
            "state": "IL",
            "postal_code": "60954",
            "telephone_number": "815-592-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W RIVER PL",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012932",
            "telephone_number": "815-933-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002776",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna C Neal, APRN
• Nicole S. Nettgen, CNM
• Neurology LTD
• Victor Nevarez Sr., CADC
• New Life Pentecostal Medical Clinic for the Uninsured Inc (New Life Pentecostal Medical Clinic for the Uninsured)
• Newsome Rehabilitation Center
• Nexus (Indian Oaks Academy)
• Phivu Nguyen, DO
• John Tin Ngwe, M.D.
• Richard Scot Nicklas, DDS

• Physical Therapy Assistant in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.