Provider Demographics
NPI:1932124468
Name:ADAMS, SHERI L (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12014 CHIPMUNK RD
Mailing Address - Street 2:
Mailing Address - City:POUND
Mailing Address - State:VA
Mailing Address - Zip Code:24279-2014
Mailing Address - Country:US
Mailing Address - Phone:276-796-4073
Mailing Address - Fax:
Practice Address - Street 1:4862 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:CLINTWOOD
Practice Address - State:VA
Practice Address - Zip Code:24228-1810
Practice Address - Country:US
Practice Address - Phone:276-926-4516
Practice Address - Fax:276-926-6652
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204113225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA196257OtherANTHEM GROUP NUMBER
VA496705Medicare ID - Type UnspecifiedFACILITY PROVIDER NUMBER