Sherry J McNulty-Mack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0609 Issued in SD

Practice address

305 S State St
Aberdeen, SD 57401-4527

Phone

(605) 622-5000

Fax

(605) 622-5255

NPI assigned

Oct 31, 2008

Last updated

Feb 28, 2025By 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

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Minnesota Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment Care Compare group NPD
• Avera St Luke's

  dba Avera Groton Clinic

  • Family Medicine Physician
  • Groton, SD
  • NPI 1306031976
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1639322837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4400",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574024400",
            "telephone_number": "605-622-5000",
            "fax_number": "605-622-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S STATE ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014527",
            "telephone_number": "605-622-5000",
            "fax_number": "605-622-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY-MACK",
        "first_name": "SHERRY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Mayweather, OTD, OTR/L
• Billie Jo McCool, LPC
• Dalton McDaniel, DO
• Adam McFarland
• Niccole Ann McGuire, PT, DPT
• Stacey Meehl, MS
• Hope Marie Mehlhoff Schaar
• Lisa Meier
• Angel Lee Meis
• Emily Melius, COTA/ L

• Physical Therapist in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.