Keith A Sternhagen, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2906 Crossing CT
Champaign, IL 61822-6163

Phone

(217) 356-6543

Fax

(217) 356-8010

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023199767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 CROSSING CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226163",
            "telephone_number": "217-356-6543",
            "fax_number": "217-356-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 CROSSING CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226163",
            "telephone_number": "217-356-6543",
            "fax_number": "217-356-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNHAGEN",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephenie Austin-Brusatte LCSW PLLC
• Mark Andrew Stephens, D.M.D.
• Stephenson Gut Vitality & Health PLLC
• Emily Stephenson, FNP
• Jennifer Lynn Stern, APN CNP
• Trisha C Stetzler, APN
• Steven W Seibert DMD, LTD
• Jamie Sue Stevens
• Deborah L Stewart, D.M.D
• Elise Stewart, LPC

• All providers in Champaign, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.