Individual provider Active NPI

Douglas B. Strautman, P.T.

  • Physical Therapist
  • Oxford, AL
National Provider Identifier
1881630465
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3004 Issued in AL
Practice address
1419 Hamric Dr E
Suite 201
Oxford, AL 36203-2173
Phone
(256) 241-3242
Fax
(256) 241-3252
NPI assigned
Jun 21, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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 PTH3004 AL Primary

Addresses

Primary practice location

1419 Hamric Dr E
Suite 201
Oxford, AL 36203-2173

Mailing address

3461 Bobwhite St
Oxford, AL 36203-4136
Phone (256) 283-7033

Other identifiers 1

IdentifierTypeStateIssuer
890016490MedicaidAL

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
PTH3004ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Physical Therapy P.C. 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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1881630465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 BOBWHITE ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362034136",
            "telephone_number": "256-283-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E",
            "address_2": "SUITE 201",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032173",
            "telephone_number": "256-241-3242",
            "fax_number": "256-241-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUTMAN",
        "first_name": "DOUGLAS",
        "middle_name": "B.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890016490",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.