Individual provider Active NPI

Sternson A Ladouceur, PT, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1104522879
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39916 Issued in FL
Practice address
11930 Fairway Lakes Dr Ste 103
Fort Myers, FL 33913-8388
Phone
(239) 687-3224
NPI assigned
Feb 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39916 FL Primary

Addresses

Primary practice location

11930 Fairway Lakes Dr Ste 103
Fort Myers, FL 33913-8388

Mailing address

112 Irving Ave
Lehigh Acres, FL 33936-2227
Phone (239) 258-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221000300 FL Practitioner - Physical Therapist in Private Practice 4486026424 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

11930 Fairway Lakes Dr
Suite 103 104
Fort Myers, FL 33913-8388
Phone (239) 687-3224

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39916FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest - Venice LLC CurrentSince Feb 1, 2025 Accepting new patients
Fq0016, LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Fitness Quest - North Port LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Fq0014 Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Fitness Quest - Punta Gorda LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest-Port Charlotte LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

11930 Fairway Lakes Dr
Ste 103104
Fort Myers, FL 33913
Phone (239) 687-3224

11930 Fairway Lakes Dr
Ste 103
Fort Myers, FL 33913
Phone (239) 687-3224

11930 Fairway Lakes Dr
Fort Myers, FL 33913
Phone (239) 687-3224

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778

2530 Bobcat Village Center Rd
Unit C
North Port, FL 34288
Phone (941) 426-7400

1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700

530 E Olympia Ave
#112
Punta Gorda, FL 33950
Phone (941) 575-7300

530 E Olympia Ave
Ste 112
Punta Gorda, FL 33950
Phone (941) 575-7300

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1104522879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 IRVING AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339362227",
            "telephone_number": "239-258-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 FAIRWAY LAKES DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138388",
            "telephone_number": "239-687-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADOUCEUR",
        "first_name": "STERNSON",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.