Basic Information
Provider Information
NPI: 1003806530
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORODE
FirstName: SHERRI
MiddleName: D
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TORODE
OtherFirstName: SHERRI
OtherMiddleName: D
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: P.T.
OtherLastNameType: 5
Mailing Information
Address1: PO BOX 720
Address2:  
City: AMHERST
State: VA
PostalCode: 245210720
CountryCode: US
TelephoneNumber: 4349461314
FaxNumber: 4349461083
Practice Location
Address1: 210 S MAIN ST
Address2:  
City: AMHERST
State: VA
PostalCode: 245212616
CountryCode: US
TelephoneNumber: 4349461314
FaxNumber: 4349461083
Other Information
ProviderEnumerationDate: 10/26/2005
LastUpdateDate: 07/11/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X2305001459VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

ID Information
IDTypeStateIssuerDescription
65002158101VARR MEDICAREOTHER
21044801VASOUTHERN HEALTHOTHER
01008121105VA MEDICAID
21763501VABLUE CROSS BLUE SHIELDOTHER
54202215901VATRICAREOTHER


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