Individual provider Active NPI

Rebecca Elizabeth Sherwin, PT

  • Physical Therapist
  • West Monroe, LA
National Provider Identifier
1659522175
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03986 Issued in LA
Practice address
107 Summer LN
West Monroe, LA 71291-3501
Phone
(318) 396-1969
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03986 LA Primary

Addresses

Primary practice location

107 Summer LN
West Monroe, LA 71291-3501

Mailing address

107 Summer LN
West Monroe, LA 71291-3501
Phone (318) 396-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000229 LA Practitioner - Physical Therapist in Private Practice 5092865402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Louisiana RehabilitationGroup PAC ID 8123315025, 6 clinicians

Practice addresses (Care Compare)

204 Boots Dr
Farmerville, LA 71241-3102
Phone (318) 381-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03986LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Physical Therapist CurrentSince Sep 18, 2008 Accepting new patients
Melanie Massey Infant & Toddler LLC Physical Therapist Past Accepting new patients

Locations

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1659522175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWIN",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.