Individual provider Active NPI

Sherry Lynn Pokigo, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1750409702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20316 Issued in MD
Practice address
1801 Wentworth Rd
Baltimore, MD 21234-6128
Phone
(410) 661-5717
Fax
(410) 661-3416
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20316 MD Primary
Physical Therapist 225100000X 9377 MA
Physical Therapist 225100000X 2064 NH

Addresses

Primary practice location

1801 Wentworth Rd
Baltimore, MD 21234-6128

Mailing address

10217 Bevans Rd
Baltimore, MD 21220-1503
Phone (410) 335-3442

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20316MDMDPharmacist
9377MAMDPhysical Therapist
2064NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750409702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 BEVANS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201503",
            "telephone_number": "410-335-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WENTWORTH RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212346128",
            "telephone_number": "410-661-5717",
            "fax_number": "410-661-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKIGO",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20316",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • 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.