Active NPIIndividual provider

Stephen Sheridan, PT

Physical Therapist in Marblehead, Massachusetts

NPI Number1962486241
Practice location
1 Widger RD, Marblehead, MA 01945
Fax
781-639-2060
Last updated
December 8, 2010

Stephen Sheridan is a Physical Therapist based in Marblehead, MA. Stephen Sheridan practices in Marblehead, MA and has the professional credentials of PT. The NPI Number for Stephen Sheridan is 1962486241 and holds a License No. 16479 (MA). The current practice location address for Stephen Sheridan is 1 Widger RD, Marblehead, MA 01945 and can be reached out via phone at 781-631-8250 and via fax at 781-639-2060.

Provider Profile Details

NPI Number
1962486241
Provider Name
Stephen Sheridan
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1 Widger RD, Marblehead, MA 01945
Phone Number
781-631-8250
Fax Number
781-639-2060
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2005
Last Update Date
December 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Widger RD
Marblehead, MA 01945
Zip
01945
Phone Number
781-631-8250
Fax Number
781-639-2060
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
1 Widger RD
Marblehead, MA 01945
City
Marblehead
State
MA
Zip
01945
Phone Number
781-631-8250
Fax Number
781-639-2060

License Information

License Number
16479
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephen Sheridan, PT?

The NPI number of Stephen Sheridan, PT is 1962486241. It was assigned on December 1, 2005 and is currently active in the NPPES registry.

What is the specialty of Stephen Sheridan, PT?

Stephen Sheridan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 16479.

Where does Stephen Sheridan, PT practice?

The practice location is 1 Widger RD, Marblehead, MA 01945. The office can be reached at 781-631-8250 (phone) or 781-639-2060 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962486241 directly on the NPPES registry website.

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