Traci Sherbondy, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9091 Issued in TN

Practice address

3074 Hickory Valley Rd
Chattanooga, TN 37421-1265

Phone

(423) 622-1551

Fax

(423) 622-1556

NPI assigned

Sep 29, 2011

Last updated

Sep 29, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stellartherapy Services, LLC

  • Speech-Language Pathologist
  • Chattanooga, TN
  • NPI 1205041811

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1467736199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 HICKORY VALLEY RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211265",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERBONDY",
        "first_name": "TRACI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "9091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Ann Shepherd, PHARMD
• Caitlyn Sheppard, RD
• Jerome Arnold Sherard, MD
• Mattie Yulonda Sherard, NP-C
• Jan F Sherbak, PSY.D.
• Stephanie Sheridan, ANP, MSN, CDN
• Dakota Blake Sherlin
• Tiffani Sherlin
• Kay Sherman, FNP
• Sidney Sherman, M.S., SLP

• Pediatric Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pediatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.