Sheridan L Peck, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

282835-4201 Issued in UT

Practice address

405 S 200 W
Richmond, UT 84333-1267

Phone

(435) 258-5601

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teamworks Therapy LLCGroup PAC ID 4284734542, 2 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.

• Teamworks Therapy LLC

  • Occupational Therapist
  • Logan, UT
  • NPI 1023155322
  Medicare reassignment Care Compare group NPD
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659427995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 S 470 E",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329501",
            "telephone_number": "435-752-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 200 W",
            "city": "RICHMOND",
            "state": "UT",
            "postal_code": "843331267",
            "telephone_number": "435-258-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "SHERIDAN",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "282835-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Creek Pharmacy
• Anthony Larson
• Lees Marketplace Inc (Lee's Marketplace Richmond Pharmacy)
• Cliff Lawrence Mitchell, DVM
• Sharik L Peck, PT
• Brandon Michael Priebe, DDS
• Thomas Rudolph Roskos, PHD
• Kyle Spackman, DDS
• Sterling Provider Group
• Elizabeth Joyce Strong, M.S., CCC-SLP

• Occupational Therapist in Richmond, UT
• Providers in Richmond, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.