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1831335256 NPI number — REBECCA ANN SHERIDAN PT, INHC

NPI Number: 1831335256
Health Care Provider/Practitioner: REBECCA ANN SHERIDAN PT, INHC

Information about “1831335256” NPI (REBECCA ANN SHERIDAN PT, INHC) exists in 1831335256 in HTML format HTML  |  1831335256 in plain Text format TXT  |  1831335256 in PDF (Portable Document Format) PDF  |  1831335256 in an XML format XML  formats.

NPI Number : 1831335256 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831335256",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHERIDAN",
    "FirstName": "REBECCA",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, INHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GERLACH",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "18376 SOUTHAMPTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEWES",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19958-3266",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-897-8087",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18376 SOUTHAMPTON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWES",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19958-3266",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-897-8087",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/07/2009",
    "LastUpdateDate": "02/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374K00000X",
          "TaxonomyName": "Religious Nonmedical Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "J1-0014618",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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