Tiffany Shea Sherman, DPT

Primary specialty

Physical TherapistTaxonomy code 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

Last updated

Jun 20, 2022By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Excel Orthopedic Physical Therapy Limited Partnership

  • Physical Therapist
  • Bozeman, MT
  • NPI 1700518057
  Medicare reassignment NPD
• Excel Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Bozeman, MT
  • NPI 1467537522
  NPD

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

{
    "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": []
}

• Kimberly D Shelton
• Shen
• Chelsea Rose Funk Shenker, MSW, LICSW
• Melissa Ann Shepherd, CNP
• Elizabeth Sherman, PA-C
• Sherri Martinez Physical Therapy & Wellness, LLC
• Ami Shetler
• Keegan Shields, PCLC
• Miranda Shields, LMT
• Katja Shimkin

• Physical Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.