Michael S. Stidham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT870909 Issued in DC

Practice address

1150 18TH Street, NW
Suite LL4
Washington, DC 20036

Phone

(202) 775-1777

Fax

(202) 775-8668

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1548347008

  Physical Therapist

  Medicare reassignment NPD
• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1033217807
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1265682058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 18TH STREET, NW",
            "address_2": "SUITE LL4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "202-775-1777",
            "fax_number": "202-775-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 18TH STREET, NW",
            "address_2": "SUITE LL4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20036",
            "telephone_number": "202-775-1777",
            "fax_number": "202-775-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Sherita Stewart
• Tierra Stewart
• Valerie Stewart
• Valerie Stewart
• Alison Ann Stickel, PA-C
• Amanda J. Stieglitz, P.A.
• Michael J Stiers, PH.D.
• Sade' Chanel Still
• Sheronda Nicole Still
• John W. Stiller, M.D.

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.