Stim Athletic Therapy Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

200 Issued in MA

Legal business name

STIM ATHLETIC THERAPY INC.

Doing business as

Sports Center Physical Therapy

Practice address

33 Highfield Dr
Falmouth, MA 02540-2303

Phone

(508) 548-7491

Fax

(508) 457-4907

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Joseph Brocklebank, MPTNPI 1477616506

Title

President and Physical Therapist

Phone

(508) 548-7491

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sports Center Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Joseph Brocklebank, MPT

  • Orthopedic Physical Therapist
  • Falmouth, MA
  • NPI 1477616506
  Medicare reassignment Care Compare group NPD Authorized official
• Sandra J Parkinson, PT

  • Physical Therapist
  • Falmouth, MA
  • NPI 1205057171
  Medicare reassignment Care Compare group NPD
• Katherine Collins, MPT

  • Physical Therapist
  • Falmouth, MA
  • NPI 1518206259
  NPD (past)
• Elaine M Curtis, MS, PT

  • Physical Therapist
  • Falmouth, MA
  • NPI 1376063354
  NPD (past)
• Ellen Howland

  • Orthopedic Physical Therapist
  • Falmouth, MA
  • NPI 1235478959
  NPD (past)
• Timothy Jon Wakefield, ATC

  • Athletic Trainer
  • Falmouth, MA
  • NPI 1649326968
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1174686208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410593",
            "telephone_number": "508-548-7491",
            "fax_number": "508-457-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HIGHFIELD DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402303",
            "telephone_number": "508-548-7491",
            "fax_number": "508-457-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIM ATHLETIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BROCKLEBANK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "508-548-7491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMDEON",
            "identifier": "388229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda E Stacey
• Louise A Stebbins, RNCS; APRN
• Robert F Stenson, NP
• Mary Virginia Stevens
• Taylor Stevens
• Debra S Stone, RPA
• Emily Kathryn Stone, C.N.P.
• Jillian N Stone, NP
• Michelle Marie Stormo, MA
• William Stephen Sutton-Ohannesian, DNP, PMHNP-BC

• Orthopedic Physical Therapist in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.