STEPHEN SHERIDAN (PT) – Physical Therapist, NPI 1962486241

STEPHEN SHERIDAN (PT) is a healthcare provider. based in Marblehead, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 16479 (MA). The NPI Number for STEPHEN SHERIDAN (PT) is 1962486241

Main info

Male
26 Years Of Experience
Name
STEPHEN SHERIDAN (PT)
NPI
1962486241
Phone
(781) 631-8250
Address
1 WIDGER RD
Enumeration Date
1 December 2005
Last Update Date
8 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815870776
Graduation Year
2000 (26 years ago)
PAC ID
0547151169
Group Practice PAC ID
4789845991
Professional Enrollment ID
I20040323001133
Address ID
MA018801322WA607XXAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Loading map...

Provider Addresses for STEPHEN SHERIDAN (PT)

  • 1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States

    MARBLEHEAD, MA 01945

    Phone: (781) 631-8250

    Fax: (781) 639-2060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040323001133IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,27852$0
97140Therapy procedure using manual technique, each 15 minutes87950$0
97162Evaluation for physical therapy, typically 30 minutes3631$0
97161Evaluation for physical therapy, typically 20 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 01945)

Loading plans...

Provider's Procedures

STEPHEN SHERIDAN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97001Physical therapy evaluation2624

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789845991View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify STEPHEN SHERIDAN (PT) with an NPI only?
You can start verification with NPI 1962486241 for STEPHEN SHERIDAN (PT), then check state licensing separately.
Is STEPHEN SHERIDAN (PT) still practicing?
STEPHEN SHERIDAN (PT) is currently listed as active in the public NPI registry.
What taxonomy line describes STEPHEN SHERIDAN (PT)?
For research purposes, treat STEPHEN SHERIDAN (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is STEPHEN SHERIDAN (PT) based?
STEPHEN SHERIDAN (PT) is tied to Marblehead, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does STEPHEN SHERIDAN (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

NANCY JANE DEMUTH (PT)

Physical Therapist
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1376527572

DAVID ROBERTS (PT)

Physical Therapist
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1265416465

RAYMOND CHOINIERE (PT)

Physical Therapist
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1225012503

FAWN BURNS ANDERSON (PT)

Physical Therapist
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1154306439

SUSAN MILLIKEN-ROGERS (PT)

Physical Therapist
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1306823729
1, Widger Road, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1912984212

MR. ARA SAKAYAN (P.T.)

Physical Therapist
Lakeside-Marblehead Post Office, West Main Street, Lakeview Heights, Marblehead, Danbury Township, Ottawa County, Ohio, 43440, United States
NPI: 1346207800

MR. THOMAS J BALDWIN (PT)

Physical Therapist
9, State Street, Marblehead, Essex County, Massachusetts, 01945, United States
NPI: 1851349948
Annapolis Neurology Associates, 122, Defense Highway, Threemile Oak Corner, Oak Court, Anne Arundel County, Maryland, 21041, United States
NPI: 1891723144