Sherrice Benford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2830 Issued in MS

Practice address

5888 Ridgewood Rd Ste B
Jackson, MS 39211-2644

Phone

(601) 978-1798

Fax

(601) 978-1799

NPI assigned

Dec 6, 2021

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol Physical Therapy, PA

  • Physical Therapist
  • Jackson, MS
  • NPI 1518177971
  NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1972261048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 RIDGEWOOD RD STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112644",
            "telephone_number": "601-978-1798",
            "fax_number": "601-978-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 RIDGEWOOD RD STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112644",
            "telephone_number": "601-978-1798",
            "fax_number": "601-978-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFORD",
        "first_name": "SHERRICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben W. Seale, M.D., PLLC
• Anna Claire Benafield
• Bender Dental Associates
• Laura Lee Smith Beneke, MD
• Charles A Benford Sr., P.T.
• Dustin Benge, CRNA
• Jenna C Benge
• Allison Derrick Bennett, M.D.
• Amanda M Bennett, COTA/L
• Brett Ashley Bennett, MD

• Physical Therapy Assistant in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.