Bertram Loring Stiff, DPT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20362 Issued in MD

Practice address

9801 Brokenland Pkwy
Suite 103
Columbia, MD 21046-3080

Phone

(410) 290-6533

Fax

(410) 290-8646

NPI assigned

Dec 20, 2007

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

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1639353097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 APPLE BLOSSOM CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212792",
            "telephone_number": "301-636-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 BROKENLAND PKWY",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463080",
            "telephone_number": "410-290-6533",
            "fax_number": "410-290-8646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46400 Lexington Village Way Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206535565",
            "country_code": "US",
            "telephone_number": "301-798-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIFF",
        "first_name": "BERTRAM",
        "middle_name": "LORING",
        "name_prefix": "Dr.",
        "credential": "DPT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Stewart, PTA
• Danies Charles Stewart, DDS
• Liana Stewart
• Nina A Stewart
• Richard Gene Stewart, RPH
• Bradley D. Stiles, L. AC.
• Kyla-Renee Still
• Aaron Benjamin Stills, PH.D.
• Sarah Elizabeth Stiltner, RN
• Daniel C Stinchcomb

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.