Provider Demographics
NPI:1295871416
Name:YORK, SHEREE CHAPMAN (PT, PCS)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:CHAPMAN
Last Name:YORK
Suffix:
Gender:F
Credentials:PT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:CHILDREN'S HOSPITAL PT/OT DEPT
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-939-9644
Mailing Address - Fax:205-939-6067
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:CHILDREN'S HOSPITAL PT/OT DEPT
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-939-9644
Practice Address - Fax:205-939-6067
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890013280Medicaid