Individual provider Active NPI

Steven Paul Ferdig, MPT, OCS

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1245258359
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19617 Issued in CA
Practice address
250 El Camino Real
Suite 100
Tustin, CA 92780-3655
Phone
(714) 838-6999
Fax
(714) 838-7099
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 PT19617 CA Primary

Addresses

Primary practice location

250 El Camino Real
Suite 100
Tustin, CA 92780-3655

Mailing address

32 Campus Dr
Skaggs BLDG#129
Missoula, MT 59812-0001
Phone (406) 243-4006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731002241 MT Practitioner - Physical Therapist in Private Practice 3577533298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MontanaGroup PAC ID 7719899889, 10 clinicians

Practice addresses (Care Compare)

32 Campus Dr
Missoula, MT 59812-0001
Phone (406) 243-5189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19617CAMDDental Hygienist
PT19617CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Montana CurrentSince Aug 1, 2018 Accepting new patients
HW Physical Therapy Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
University of Montana Physical Therapist Current Accepting new patients
The University of Montana CurrentSince Aug 1, 2018 Accepting new patients
University of Montana Physical Therapist Past Accepting new patients

Locations

250 El Camino Real
Ste 100
Tustin, CA 92780
Phone (714) 485-7642

32 Campus Dr
Ste 129
Missoula, MT 59812
Phone (406) 243-5189

32 Campus Dr
Missoula, MT 59812
Phone (406) 243-0211

32 Campus Dr
Bldg 129
Missoula, MT 59812
Phone (406) 243-4006

32 Campus Dr
Ste 135
Missoula, MT 59812
Phone (406) 243-4006

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1245258359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR",
            "address_2": "SKAGGS BLDG#129",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001",
            "telephone_number": "406-243-4006",
            "fax_number": "406-243-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-838-6999",
            "fax_number": "714-838-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDIG",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.