Individual provider Active NPI

Cheryl B. Spickerman, PT

  • Physical Therapist
  • Sandy Springs, GA
National Provider Identifier
1841353414
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0318 Issued in GA
Practice address
6056 Roswell Rd Ste 220
Crouse Rehab Associates
Sandy Springs, GA 30328
Phone
(404) 256-5655
Fax
(404) 256-1720
NPI assigned
Dec 18, 2006
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0318 GA Primary

Addresses

Primary practice location

6056 Roswell Rd Ste 220
Crouse Rehab Associates
Sandy Springs, GA 30328

Mailing address

6056 Roswell Rd Ste 220
Crouse Rehab Associates
Sandy Springs, GA 30328
Phone (404) 256-5655

Other names 1

  • Cherry Boyce Other name

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
PT0318GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Rehab Associates, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1841353414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 ROSWELL RD STE 220",
            "address_2": "CROUSE REHAB ASSOCIATES",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-5655",
            "fax_number": "404-256-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 ROSWELL RD STE 220",
            "address_2": "CROUSE REHAB ASSOCIATES",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-5655",
            "fax_number": "404-256-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKERMAN",
        "first_name": "CHERYL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "BOYCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.