Stratton Rodeo Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STRATTON RODEO SPORTS MEDICINE

Doing business as

Stratton Sports Medicine

Practice address

415 S 31St St
Mesa, AZ 85204-3103

Phone

(602) 284-5530

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Glen Michael Stratton, DSC, PT, ATC, MA

Title

Owner

Phone

(602) 284-5530

Specialties & licenses 1

Addresses

Other names 1

• Stratton Sports Medicine Doing business as

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1205370913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 31ST ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043103",
            "telephone_number": "602-284-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 31ST ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043103",
            "telephone_number": "602-284-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATTON RODEO SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-284-5530",
        "authorized_official_credential": "DSC, PT, ATC, MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratton Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Brown Stradleigh, PT
• Benjamin L. Stradling, D.O.
• Melvin R Stradling, CRNA
• Zachary Strand, PA-C
• Ryan R Stratford, MD
• Bella Reese Stratton, RN
• Joleen Louise Stratton, PHARMD
• Kimberly Stratton
• Zachary William Stratton, PHARMD
• Jamie L Strawser, RPH

• Physical Therapy Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.