Active NPI
Rebecca Sherman, MS, CCLS, CPST
- Developmental Therapist
- Forest Hills, NY
National Provider Identifier
1669067609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 29649
- Practice address
- 404 Burns St
Forest Hills, NY 11375-6135 - Phone
- (516) 619-6588
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 29649 | NY | Primary |
Addresses
Primary practice location
404 Burns St
Forest Hills, NY 11375-6135
Mailing address
63 Cedar Dr W
Plainview, NY 11803-2943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29649 | NY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1669067609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 CEDAR DR W",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 BURNS ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756135",
"telephone_number": "516-619-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "REBECCA",
"credential": "MS, CCLS, CPST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "29649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.