Timothy Sheridan, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16338 Issued in NC

Practice address

781 Avent Ferry Rd Ste 110
Holly Springs, NC 27540-7776

Phone

(919) 781-4060

Fax

(919) 781-5246

NPI assigned

Jan 8, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raleigh Orthopaedic Clinic PA

  dba Raleigh Orthopaedic Therapy Services

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1235137563
  Medicare reassignment Care Compare group NPD
• Raleigh Orthopaedic Pharmacy

  dba Raleigh Orthopaedic Therapy Services

  • Orthopedic Physical Therapist
  • Raleigh, NC
  • NPI 1497960629
  NPD
• Inspire Physical & Hand Therapy Spokane Inc. P.S.

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
  • NPI 1447417357

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1821505249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-4060",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 AVENT FERRY RD STE 110",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407776",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "TIMOTHY",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17795",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Alice Sebas, MD
• Senior Moments Consulting, LLC
• Nicole Sgherza
• Suraj Pravin Shah, M.D
• Julius Chamberlain Shayo, NP-C
• Natalie Hope Sigler, MSW
• Kimberly Betts Sigman, MD
• Adrienne Theresa Simes
• Erin O. Simile, LMFT, CFLE
• Amanda Kate Simon, MSW, LCSW

• Occupational Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.