Sherri Bourdo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11817-24 Issued in WI

Practice address

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Phone

(262) 560-2423

NPI assigned

Jul 5, 2011

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimized Therapy Transitions LLCGroup PAC ID 6305274812, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Optimized Therapy Transitions, LLC

  • Occupational Therapist
  • St Petersburg, FL
  • NPI 1891346680

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Concepts in Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Myers, FL
  • NPI 1558458273
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1467749945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PRAIRIE CREEK BLVD UNIT 209",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668804",
            "telephone_number": "262-490-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-560-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDO",
        "first_name": "SHERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11817-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Richard Bock, C.AC.DIPL.OM,FABORM
• Melissa Bock, PMHNP
• Christine Marie Bolyard
• Stephanie Lynn Bondioli, RPH
• Brenda L. Boschek, M.D.
• Rita Jean Brafford, LCSW, CADC-D
• Macie Brahm, OD
• Mary Jo Brennan
• Stephen Michael Brennan, MD
• Julius T. Breyer

• Physical Therapist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.