Active NPI
Robert Brett Sherry, D.C.
- Rehabilitation Chiropractor
- Mattapan, MA
National Provider Identifier
1942429915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2674
- Practice address
- 1551 Blue Hill Ave
Mattapan, MA 02126-2122 - Phone
- (617) 298-3200
- Fax
- (617) 298-3233
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2674 | MA | Primary |
Addresses
Primary practice location
1551 Blue Hill Ave
Mattapan, MA 02126-2122
Mailing address
1551 Blue Hill Ave
Mattapan, MA 02126-2122
Phone (617) 298-3200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA3306 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 1120356 | Other | MA | AETNA |
| 8724026001 | Other | MA | CIGNA |
| Y36983 | Other | MA | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 2674 | MA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Park Choice Chiropractic Inc | Rehabilitation | Past | Accepting new patients |
| Centre Street Rehabiilitation, 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Jamaica Plain, MA
- NPI 1760601983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1942429915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 BLUE HILL AVE",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-298-3200",
"fax_number": "617-298-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 BLUE HILL AVE",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262122",
"telephone_number": "617-298-3200",
"fax_number": "617-298-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRY",
"first_name": "ROBERT",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MA",
"license": "2674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "AA3306",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1120356",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8724026001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y36983",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.