Tiffany Shea Sherman, DPT

Key facts

NPI

1558092676

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

Practice address

47 Pronghorn TRL Ste 1
Bozeman, MT 59718-2435

Phone

(406) 585-9044

Fax

(406) 585-9220

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Excel Orthopedic Physical Therapy Limited Partnership Physical Therapist · Bozeman, MT · NPI 1700518057
  Medicare reassignment NPD MT · PHYSICAL THERAPIST
• Excel Orthopedic Physical Therapy, Inc. Physical Therapist · Bozeman, MT · NPI 1467537522
  NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MT

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1558092676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11629",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191629",
            "telephone_number": "406-522-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PRONGHORN TRL STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182435",
            "telephone_number": "406-585-9044",
            "fax_number": "406-585-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "TIFFANY",
        "middle_name": "SHEA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bozeman",
            "affiliation": "N",
            "endpointDescription": "Lone Peak Physical Therapy location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 Pronghorn Trl Ste 1",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597182435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Bozeman, MT · Physical Therapist in Montana