Tara Lynn Sheehan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0154741 Issued in NY

Practice address

2685 Erie Dr
Raymond Physical Therapy PLLC
Weedsport, NY 13166-3204

Phone

(315) 834-6496

Fax

(315) 834-6499

NPI assigned

Aug 4, 2006

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

Other identifiers 1

Other names 1

• Miss Tara Lynn Jorokmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669480570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 JACKSON ST",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131669569",
            "telephone_number": "315-834-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ERIE DR",
            "address_2": "RAYMOND PHYSICAL THERAPY PLLC",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131663204",
            "telephone_number": "315-834-6496",
            "fax_number": "315-834-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0154741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02140169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "JOROKMON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Physical Therapy PLLC
• Melanie J Raymond, PT
• Rebecca Jo Bigness Family Health Nurse Practitioner, PLLC
• April M Russell, LPN
• Sean P. Boyle
• Jennifer Jo Spencer, RN
• Tricia Dennis LMHC NCC Counseling Services LLC
• Jody Ann Waugh, LPN
• Weedsport Central School District
• Ashley Wightman

• Physical Therapist in Weedsport, NY
• Providers in Weedsport, NY by specialty
• Physical Therapist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.