Stracker Physical Therapy, Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT29614 Issued in CA

Legal business name

STRACKER PHYSICAL THERAPY, INC.

Practice address

1421 N Wanda Rd
Ste. 120 V4
Orange, CA 92867-5343

Phone

(714) 865-1076

NPI assigned

Jun 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jason Thad Stracker, PT, DPTNPI 1710072020

Title

President

Phone

(714) 865-1076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Thad Stracker, PT, DPT

  • Orthopedic Physical Therapist
  • Pasadena, CA
  • NPI 1710072020
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372550400000",
    "number": "1649610098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "STE. 120 V4",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-865-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "STE. 120 V4",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-865-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRACKER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-30",
        "last_updated": "2013-06-30",
        "status": "A",
        "authorized_official_last_name": "STRACKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-865-1076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT29614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Scott Stoveken
• Lauren Kim Stowe, BA SOCIAL WORK
• Richard Stoyanoff, D.C.
• Joan Stoykovich, PA-C, RNP
• Rodney Strachan, MD
• Ian Straehley, MD
• Ladan Afifi Straker, MD
• Richard James Straker III
• Cathie Strand, CCC-SLP
• Rivka Strassberg

• Orthopedic Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; 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.