Basic Information
| Provider Information | |||||||||
| NPI: | 1235184441 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHERMAN | ||||||||
| FirstName: | DEAN | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT,MPT,COMT,CEAS,VRT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 76 LONGFELLOW DR | ||||||||
| Address2: | |||||||||
| City: | YARMOUTH PORT | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026751530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5082802386 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 130 NORTH ST | ||||||||
| Address2: | CAPE COD ORTHOPAEDICS PHYSICAL THERAPY (LOWER LEVEL) | ||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026013825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087716685 | ||||||||
| FaxNumber: | 5087716687 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2006 | ||||||||
| LastUpdateDate: | 09/08/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 17035 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | Y68374 | 01 | MA | BCBS | OTHER | 713570 | 01 | MA | TUFTS | OTHER |