Provider Demographics
NPI:1245693290
Name:SHERMAN, REBECCA LYNN (DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NE INTERSTATE 410 LOOP
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212
Mailing Address - Country:US
Mailing Address - Phone:210-342-2667
Mailing Address - Fax:
Practice Address - Street 1:1485 ROUTE 9D STE B5
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-7170
Practice Address - Country:US
Practice Address - Phone:845-414-6780
Practice Address - Fax:845-520-9824
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012258225100000X
NY053777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist