Individual provider Active NPI

Stephen A Gulsby, RPT

  • Physical Therapist
  • Gulf Breeze, FL
National Provider Identifier
1750504932
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5270 Issued in FL
Practice address
3408 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Phone
(850) 932-4078
Fax
(850) 932-8918
NPI assigned
Apr 10, 2007
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 PT5270 FL Primary

Addresses

Primary practice location

3408 Santa Rosa Dr
Gulf Breeze, FL 32563-5665

Mailing address

3408 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Phone (850) 932-4078

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

State licenses

LicenseStateTypeSpecialty
PT5270FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1750504932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 SANTA ROSA DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635665",
            "telephone_number": "850-932-4078",
            "fax_number": "850-932-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 SANTA ROSA DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635665",
            "telephone_number": "850-932-4078",
            "fax_number": "850-932-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULSBY",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.