Rachel Anne Sturdevant

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010837A Issued in IN

Practice address

13180 Market Square Dr Ste 100
Fishers, IN 46038-8390

Phone

(317) 813-9322

Fax

(317) 813-9337

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1245873637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 MARKET SQUARE DR STE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388390",
            "telephone_number": "317-813-9322",
            "fax_number": "317-813-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05010837A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milan Stubblefield
• Dayeon Stubbs
• Ivy Stubbs
• Jennifer Stump, NBC-HWC
• Charles Joseph Stumpf, O.D.
• Kristina Rene Sturwold, MA, CCC, SLP
• Annemarie Suarez-Davis, MSW, LSW
• Kara Subler-Cebulko, MSE, LPC
• Charles P. Sukurs, D.D.S.
• Alicia Sullivan, BCBA

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.