Individual provider Active NPI

Ernest Jonathan Sturzinger, DPT

  • Physical Therapist
  • Oregon City, OR
National Provider Identifier
1194984377
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5648 Issued in OR
Practice address
1001 Molalla Ave
Suite 205
Oregon City, OR 97045-3788
Phone
(503) 607-0047
Fax
(503) 607-0051
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 5648 OR Primary

Addresses

Primary practice location

1001 Molalla Ave
Suite 205
Oregon City, OR 97045-3788

Mailing address

1480 NE Village St
Fairview, OR 97024-3827
Phone (503) 489-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080724000643 OR Practitioner - Physical Therapist in Private Practice 4880767706 Reassigns benefits to 1 organization
I20241113002133 WA Practitioner - Physical Therapist in Private Practice 4880767706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

1630 Beavercreek Rd
Suite a
Oregon City, OR 97045-4156
Phone (503) 607-0047

1902 SW 9TH Ave
Suite 101
Battle Ground, WA 98604-3286
Phone (360) 723-0797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5648ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Proactive Orthopedic and Sports Physical Therapy of Gresham LLC PastSince May 19, 2015 Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients

Locations

308 N Ivy St
Canby, OR 97013
Phone (503) 263-6786

1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174

25500 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 263-6786

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

19255 SW 65th Ave
Ste 250
Tualatin, OR 97062
Phone (503) 454-0526

1902 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797

100 E 33rd St
Ste 206B
Vancouver, WA 98663
Phone (360) 823-0138

100 E 33rd St
Ste 204
Vancouver, WA 98663
Phone (360) 823-0138

Organizations & group practices 3

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1194984377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 NE VILLAGE ST",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243827",
            "telephone_number": "503-489-6250",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MOLALLA AVE",
            "address_2": "SUITE 205",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453788",
            "telephone_number": "503-607-0047",
            "fax_number": "503-607-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURZINGER",
        "first_name": "ERNEST",
        "middle_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.