Provider Demographics
NPI:1922677848
Name:SHERMAN, AUSTIN T (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:T
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 DICKERSON BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2884
Mailing Address - Country:US
Mailing Address - Phone:704-283-6700
Mailing Address - Fax:704-283-6713
Practice Address - Street 1:913 BOLGER CT
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2030
Practice Address - Country:US
Practice Address - Phone:636-305-9599
Practice Address - Fax:636-305-9799
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20927225100000X
MO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist