Active NPI
Brad William Sturgis, PT
- Physical Therapist
- Middletown, OH
National Provider Identifier
1891709838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT06126
- Practice address
- 323 N Breiel Blvd
Middletown, OH 45042-3868 - Phone
- (513) 420-1700
- Fax
- (513) 420-9700
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT06126 | OH | Primary |
Addresses
Primary practice location
323 N Breiel Blvd
Middletown, OH 45042-3868
Mailing address
8291 Keister Rd
Middletown, OH 45042-1032
Phone (937) 855-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2270546 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT06126 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891709838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 KEISTER RD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450421032",
"telephone_number": "937-855-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423868",
"telephone_number": "513-420-1700",
"fax_number": "513-420-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGIS",
"first_name": "BRAD",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT06126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2270546",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.