Provider Demographics
NPI:1831335256
Name:SHERIDAN, REBECCA ANN (PT, INHC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:SHERIDAN
Suffix:
Gender:
Credentials:PT, INHC
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:GERLACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:18376 SOUTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3266
Mailing Address - Country:US
Mailing Address - Phone:336-897-8087
Mailing Address - Fax:
Practice Address - Street 1:18376 SOUTHAMPTON DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3266
Practice Address - Country:US
Practice Address - Phone:336-897-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 374K00000X
DEJ1-0014618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner