Individual provider Active NPI

Steven Leo Stratton, MHS, PT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1194910596
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004057 Issued in MI
Practice address
2215 Oak Industrial Dr NE Ste 208
Grand Rapids, MI 49505-6037
Phone
(616) 292-6736
NPI assigned
Sep 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5501004057 MI Primary

Addresses

Primary practice location

2215 Oak Industrial Dr NE Ste 208
Grand Rapids, MI 49505-6037

Mailing address

2215 Oak Industrial Dr NE Ste 208
Grand Rapids, MI 49505-6037
Phone (616) 292-6736

Other practice location 1

1444 Michigan St NE
Grand Rapids, MI 49503-2028
Phone (616) 292-6736

Other identifiers 1

IdentifierTypeStateIssuer
0D15740OtherMIBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000584 MI Practitioner - Physical Therapist in Private Practice 9234228883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 20, 1999 Accepting new patients

Locations

1444 Michigan St NE
Grand Rapids, MI 49503
Phone 61629126736

2215 Oak Industrial Dr NE
Ste 208
Grand Rapids, MI 49505
Phone (616) 292-6736

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": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194910596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 OAK INDUSTRIAL DR NE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056037",
            "telephone_number": "616-292-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 OAK INDUSTRIAL DR NE STE 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056037",
            "telephone_number": "616-292-6736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032028",
            "country_code": "US",
            "telephone_number": "616-292-6736",
            "fax_number": "616-774-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "STEVEN",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "MHS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0D15740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.