Maridy Sherrill

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49625 Issued in CA

Practice address

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Phone

(760) 345-9934

NPI assigned

Dec 24, 2018

Last updated

Dec 24, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1679045090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175",
            "telephone_number": "760-345-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MARIDY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA6653",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Russell, DO
• Scott Russell DO Inc (Scott Russell DO, MHA)
• Isai Serrano, LCSW
• Mark Shabashov, RPH
• Arif J Shaikh, M.D.
• Cody Shimabukuro, DPT
• Sukhchain Singh
• Sino-US Harmony Technology Consulting Co.,LTD (Loving Care Living)
• Kimberly Christina Snyder
• Malou Simon Solomon Solis, RPH

• Physical Therapy Assistant in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.