Provider Demographics
NPI:1235184441
Name:SHERMAN, DEAN R (PT,MPT,COMT,CEAS,VRT)
Entity type:Individual
Prefix:MR
First Name:DEAN
Middle Name:R
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PT,MPT,COMT,CEAS,VRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 LONGFELLOW DR
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-1530
Mailing Address - Country:US
Mailing Address - Phone:508-280-2386
Mailing Address - Fax:
Practice Address - Street 1:130 NORTH ST
Practice Address - Street 2:CAPE COD ORTHOPAEDICS PHYSICAL THERAPY (LOWER LEVEL)
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3825
Practice Address - Country:US
Practice Address - Phone:508-771-6685
Practice Address - Fax:508-771-6687
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY68374OtherBCBS
MA713570OtherTUFTS
MAY68374OtherBCBS