Individual provider Active NPI

Andrew Stroud, PT

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1487504072
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
99134751A Issued in IN
Practice address
1005 N Hickory Rd
South Bend, IN 46615-2280
Phone
(574) 233-5754
Fax
(574) 233-7406
NPI assigned
Feb 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 99134751A IN Primary

Addresses

Primary practice location

1005 N Hickory Rd
South Bend, IN 46615-2280

Mailing address

1005 N Hickory Rd
South Bend, IN 46615-2280
Phone (574) 233-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99134751AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Physical Therapy and Sports Rehabilitation Center PastSince Aug 17, 2025 Accepting new patients
McDonald Physical Therapy Physical Therapist PastSince Mar 4, 2013 Accepting new patients

Organizations & group practices 2

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": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1487504072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152280",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152280",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99134751A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.