Provider Demographics
NPI:1457302945
Name:STONE, SHERRI M (PT)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4211 W BOY SCOUT BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5724
Mailing Address - Country:US
Mailing Address - Phone:855-485-3262
Mailing Address - Fax:813-443-8255
Practice Address - Street 1:7101 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34609-1048
Practice Address - Country:US
Practice Address - Phone:855-485-3262
Practice Address - Fax:813-443-8255
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2015-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT18726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY8895Medicare PIN