Active NPI
Edwin Jacob Stroman III, P.T., A.T.C., C.S.C.
- Physical Therapist
- Red Bluff, CA
National Provider Identifier
1528175031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2490 S Main St
Red Bluff, CA 96080-4337 - Phone
- (530) 529-3636
- Fax
- (530) 529-2241
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
2490 S Main St
Red Bluff, CA 96080-4337
Mailing address
2490 S Main St
Red Bluff, CA 96080-4337
Phone (530) 529-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528175031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 S MAIN ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804337",
"telephone_number": "530-529-3636",
"fax_number": "530-529-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 S MAIN ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804337",
"telephone_number": "530-529-3636",
"fax_number": "530-529-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMAN",
"first_name": "EDWIN",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "P.T., A.T.C., C.S.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.