Provider Demographics
NPI:1003806530
Name:TORODE, SHERRI D (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:D
Last Name:TORODE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SHERRI
Other - Middle Name:D
Other - Last Name:TORODE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:VA
Mailing Address - Zip Code:24521-0720
Mailing Address - Country:US
Mailing Address - Phone:434-946-1314
Mailing Address - Fax:434-946-1083
Practice Address - Street 1:210 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:VA
Practice Address - Zip Code:24521-2616
Practice Address - Country:US
Practice Address - Phone:434-946-1314
Practice Address - Fax:434-946-1083
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305001459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA210448OtherSOUTHERN HEALTH
VA542022159OtherTRICARE
VA010081211Medicaid
VA650021581OtherRR MEDICARE
VA217635OtherBLUE CROSS BLUE SHIELD
VA650021581OtherRR MEDICARE
C06781Medicare UPIN