Active NPI
Sandra Kay Sherwood, P.T.A.
- Physical Therapy Assistant
- Holly, CO
National Provider Identifier
1801085386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-00649
- Practice address
- 320 N. 8TH St.
Holly, CO 81047-9787 - Phone
- (719) 537-6555
- NPI assigned
- Oct 19, 2007
- Last updated
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-00649 | KS | Primary |
Addresses
Primary practice location
320 N. 8TH St.
Holly, CO 81047-9787
Mailing address
PO Box 636
Holly, CO 81047-0636
Phone (719) 537-6555
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 |
|---|---|---|---|
| 14-00649 | KS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Nursing Care Center, Inc. | Past | Accepting new patients | |
| Holly Nursing Care Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Holly Nursing Care Center
- Skilled Nursing Facility
- Holly, CO
- NPI 1669845129
-
- Inpatient Hospice
- Holly, CO
- NPI 1285632372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1801085386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636",
"city": "HOLLY",
"state": "CO",
"postal_code": "810470636",
"telephone_number": "719-537-6555",
"fax_number": "719-537-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N. 8TH ST.",
"city": "HOLLY",
"state": "CO",
"postal_code": "810479787",
"telephone_number": "719-537-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "SANDRA",
"middle_name": "KAY",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-00649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.