Strider Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STRIDER PHYSICAL THERAPY

Practice address

3155 Channing Way Ste a
Idaho Falls, ID 83404-7875

Phone

(208) 522-6044

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sterling Henderson III, DPT

Title

Doctorate Physical Therapist

Phone

(801) 368-7519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1881226652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-522-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-522-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "DOCTORATE PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-368-7519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Strachan, PHARMD
• Strada Performance LLC
• Lettie Stradley-Bass, LCPC-8478
• Blake A. Stragier, R.C.S.
• Derek Ronald Strate, DPT
• John J Strobel, MD
• Lynn J Stromberg, MD
• David Strong, LPC
• Alessandra Stubblefield
• Shana L Stubblefield, LMSW

• Physical Therapy Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.