Provider Demographics
NPI:1851928683
Name:SHERMAN, SARAH GRACE (PT, ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GRACE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:525 MASSACHUSETTS AVE STE 206B
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2963
Mailing Address - Country:US
Mailing Address - Phone:774-217-3994
Mailing Address - Fax:
Practice Address - Street 1:525 MASSACHUSETTS AVE STE 206B
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-2963
Practice Address - Country:US
Practice Address - Phone:774-217-3994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24232255A2300X
MA254422251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer