Tracy L Sturdevant, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-6124 Issued in OH

Practice address

950 Youngstown Warren Rd
Suite C
Niles, OH 44446-4644

Phone

(330) 652-2403

Fax

(330) 652-2409

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howland Physical Therapy LLCGroup PAC ID 2860884319, 2 clinicians

Practice addresses (Care Compare)

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.

• Howland Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Warren, OH
  • NPI 1134887854

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chiropractic and Functional Neurology Center LLC

  • Neurology Chiropractor
  • Warren, OH
  • NPI 1750893327
  NPD
• Doeberling-Muccio Physical Therapy, Inc.

  dba Center Point Physical Therapy

  • Physical Therapist
  • Canfield, OH
  • NPI 1528060050
  NPD

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1487644605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811206",
            "telephone_number": "330-399-2221",
            "fax_number": "330-394-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YOUNGSTOWN WARREN RD",
            "address_2": "SUITE C",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464644",
            "telephone_number": "330-652-2403",
            "fax_number": "330-652-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222253",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2559020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Stinellis, APRN
• Megan Stobaugh
• Alicia Lynn Stoner, LISW
• Hannah Stout
• Sheryl D Strah III, LPN
• Amy Adel Sugar, NP-C
• Reagan K Suttles
• Sutton Internal and Physical Medicine Clinic, Inc
• Amy Sutton, SLP
• Jeffrey Blaine Sutton, D.O.

• Physical Therapist in Niles, OH
• Providers in Niles, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.