Individual provider Active NPI

Rachael Ann Sturtevant, DPT

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1164071320
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016596 Issued in CO
Practice address
8052 Reflection CT
Ypsilanti, MI 48197-6222
Phone
(734) 635-7207
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 PTL.0016596 CO Primary

Addresses

Primary practice location

8052 Reflection CT
Ypsilanti, MI 48197-6222

Mailing address

8052 Reflection CT
Ypsilanti, MI 48197-6222
Phone (734) 635-7207

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016596COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

505 S 336th St
Ste 140
Federal Way, WA 98003
Phone (253) 874-6620

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.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1164071320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 REFLECTION CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976222",
            "telephone_number": "734-635-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 REFLECTION CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976222",
            "telephone_number": "734-635-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURTEVANT",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.