Active NPI
Peter Francis Sheridan, LMT, NMT
- Mechanotherapist
- Princeton, NJ
National Provider Identifier
1770092728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 18KT00981800
- Practice address
- 360 Nassau St.
Princeton, NJ 08540 - Phone
- (609) 369-1972
- NPI assigned
- Sep 21, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 18KT00981800 | NJ | Primary |
Addresses
Primary practice location
360 Nassau St.
Princeton, NJ 08540
Mailing address
10 Newton Blvd.
Robbinsville, NJ 08691
Phone (609) 369-1972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00981800 | NJ | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770092728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NEWTON BLVD.",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "08691",
"telephone_number": "609-369-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 NASSAU ST.",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-369-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "PETER",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LMT, NMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NJ",
"license": "18KT00981800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.