Active NPI
Steven Elton, MSPT
- Orthopedic Physical Therapist
- Bradenton, FL
National Provider Identifier
1083650360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 24202
- Practice address
- 3637 Cortez Rd W Ste 103
Bradenton, FL 34210-3145 - Phone
- (941) 739-7828
- Fax
- (941) 739-7838
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008304 | GA | |
| Orthopedic Physical Therapist | 2251X0800X | PT 24202 | FL | Primary |
Addresses
Primary practice location
3637 Cortez Rd W Ste 103
Bradenton, FL 34210-3145
Mailing address
3637 Cortez Rd W Ste 103
Bradenton, FL 34210-3145
Phone (941) 739-7828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24202 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immanuels Word Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Alpharetta, GA
- NPI 1912949322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1083650360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 CORTEZ RD W STE 103",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103145",
"telephone_number": "941-739-7828",
"fax_number": "941-739-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 CORTEZ RD W STE 103",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103145",
"telephone_number": "941-739-7828",
"fax_number": "941-739-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTON",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008304",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 24202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.