DR. KEVIN SHERIDAN OT
NPI 1043975121
Occupational Therapist - Gerontology in Warsaw, OH

Active since November 03, 2021Accepts Medicare Assignment
18160 COUNTY ROAD 54, WARSAW, OH 43844(740) 601-1639 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin Sheridan Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN SHERIDAN OT (NPI 1043975121) is an individual gerontology provider in Warsaw, Ohio, licensed in Ohio (OT-2766) and active in the NPI registry since November 2021. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1043975121
Entity TypeIndividualMale
Primary Taxonomy225XG0600X
Provider Legal NameDR. KEVIN SHERIDANCredential: OT
Location Address18160 COUNTY ROAD 54Warsaw, OH 43844-9006
Mailing Address18160 County Road 54Warsaw, OH 43844-9006 · (740) 601-1639
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1043975121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · GerontologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XG0600X
License✔ Licensed in OH · OT-2766
Definition
Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
18160 COUNTY ROAD 54, Warsaw, OH 43844

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Sheridan Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789155060
PECOS Enrollment IDI20260608002715

Medicare Billing Reassignment

Medicare enrollment records show Kevin Sheridan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
17470 BROOKSIDE TRACE CT
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Sheridan's NPI number?

The NPI number for Kevin Sheridan is 1043975121. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Kevin Sheridan located?

Kevin Sheridan practices at 18160 County Road 54, Warsaw, OH 43844. The listed phone number is (740) 601-1639.

What is Kevin Sheridan's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Gerontology, with taxonomy code 225XG0600X.

Is Kevin Sheridan enrolled in Medicare?

Yes. Kevin Sheridan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sheridan reassigns Medicare benefits to Legacy Healthcare Services, Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Sheridan was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.