Individual provider Active NPI

Benjamin Paul Sherr, DPT

  • Physical Therapist
  • Windham, NH
National Provider Identifier
1447627781
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4009 Issued in NH
Practice address
32 Indian Rock Road
Unit 5
Windham, NH 03087
Phone
(603) 890-8541
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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 4009 NH Primary

Addresses

Primary practice location

32 Indian Rock Road
Unit 5
Windham, NH 03087

Mailing address

32 Indian Rock Road
Unit 5
Windham, NH 03087
Phone (603) 891-8541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206000263 NH Practitioner - Physical Therapist in Private Practice 6305279258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scaccia Physical Therapy and Sports Conditioning, LLCGroup PAC ID 9133282312, 7 clinicians

Practice addresses (Care Compare)

32 Indian Rock Rd
Unit 5
Windham, NH 03087-1697
Phone (603) 890-8541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4009NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scaccia Physical Therapy & Sports Conditioning, LLC Physical Therapist CurrentSince Nov 2, 2019 Accepting new patients

Locations

32 Indian Rock Rd
Unit 5
Windham, NH 03087
Phone (603) 890-8541

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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1447627781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK ROAD",
            "address_2": "UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-891-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK ROAD",
            "address_2": "UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-890-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERR",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.