Individual provider Active NPI

Raymond Daniel Sherman, PT, DPT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1740609742
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
081272 Issued in IA
Practice address
1704 Ingersoll Ave
Suite 101
Des Moines, IA 50309-3332
Phone
(515) 282-4560
Fax
(515) 282-4570
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3222 NE
Physical Therapist 225100000X 081272 IA Primary

Addresses

Primary practice location

1704 Ingersoll Ave
Suite 101
Des Moines, IA 50309-3332

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104001711 IA Practitioner - Physical Therapist in Private Practice 7012137979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 W 6TH St
Spencer, IA 51301-3906
Phone (712) 580-5008

325 E 5TH St
Des Moines East Village Physical Therapy
Des Moines, IA 50309-1925
Phone (515) 335-4928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081272IAMDPhysical Therapist
3222NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Hometown Physical Therapy Holding Company LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
Hometown Physical Therapy Holding Company LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
Central Iowa Physio LLC Physical Therapist CurrentSince Oct 16, 2016 Accepting new patients
Central Iowa Physio, LLC CurrentSince Oct 16, 2016 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Therapy Services of Iowa Inc Physical Therapist Past Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

325 E 5th St
Des Moines, IA 50309
Phone (515) 335-4928

1704 Ingersoll Ave
Ste 101
Des Moines, IA 50309
Phone (515) 282-4560

2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272

20 W 6th St
Ste 101
Spencer, IA 51301
Phone (712) 580-5008

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1740609742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 INGERSOLL AVE",
            "address_2": "SUITE 101",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093332",
            "telephone_number": "515-282-4560",
            "fax_number": "515-282-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RAYMOND",
        "middle_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3222",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "081272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.