Sheryl N/a Abraham
Individual provider Active NPI Physical Therapist · Irving, TX
NPI 1962017566 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1962017566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1331478 (TX)
- Practice address
- 830 Redondo
Irving, TX 75039-3076 - Phone
- (469) 698-6900
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1331478 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1331478 | TX | Yes |
Addresses
Primary practice location
830 Redondo
Irving, TX 75039-3076
Mailing address
830 Redondo
Irving, TX 75039-3076
Phone (469) 698-6900
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.