Active NPI
Shari Lynn Berry, PT
- Physical Therapist
- Holmen, WI
National Provider Identifier
1932320603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4877-024
- Practice address
- 106 South Holmen Drive, Suite 2
Holmen, WI 54636 - Phone
- (608) 526-9888
- NPI assigned
- May 1, 2007
- Last updated
- Sep 27, 2016
- 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 Therapist | 225100000X | 4877-024 | WI | Primary |
Addresses
Primary practice location
106 South Holmen Drive, Suite 2
Holmen, WI 54636
Mailing address
11348 Flavin Rd
Tomah, WI 54660-8170
Phone (608) 387-4235
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4877-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1932320603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11348 FLAVIN RD",
"city": "TOMAH",
"state": "WI",
"postal_code": "546608170",
"telephone_number": "608-387-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SOUTH HOLMEN DRIVE, SUITE 2",
"city": "HOLMEN",
"state": "WI",
"postal_code": "54636",
"telephone_number": "608-526-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "SHARI",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4877-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.