Healthcare Provider Details

I. General information

NPI: 1831335256
Provider Name (Legal Business Name): REBECCA ANN SHERIDAN PT, INHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA ANN GERLACH PT

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 02/23/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18376 SOUTHAMPTON DR
LEWES DE
19958-3266
US

IV. Provider business mailing address

18376 SOUTHAMPTON DR
LEWES DE
19958-3266
US

V. Phone/Fax

Practice location:
  • Phone: 336-897-8087
  • Fax:
Mailing address:
  • Phone: 336-897-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0014618
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: