Organization Active NPI

Sterner Physical Therapy, LLC

  • Physical Therapist
  • Mooresville, NC
National Provider Identifier
1902463839
Registry record updated May 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STERNER PHYSICAL THERAPY, LLC
Practice address
807 Williamson Rd Ste 106
Mooresville, NC 28117-8560
Phone
(704) 325-9162
Fax
(704) 746-3158
NPI assigned
May 27, 2019
Last updated
May 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2019

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

Authorized official

Name
Mr. Javin Tyne Sterner, PTNPI 1467721290
Title
Owner
Phone
(704) 325-9162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

807 Williamson Rd Ste 106
Mooresville, NC 28117-8560

Mailing address

807 Williamson Rd Ste 106
Mooresville, NC 28117-8560
Phone (704) 325-9162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122000115 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921430422 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

364 Williamson Rd
Ste 303
Mooresville, NC 28117
Phone (704) 325-9162

807 Williamson Rd
Ste 106
Mooresville, NC 28117
Phone (704) 325-9162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558915200000",
    "number": "1902463839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WILLIAMSON RD STE 106",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178560",
            "telephone_number": "704-325-9162",
            "fax_number": "704-746-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WILLIAMSON RD STE 106",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178560",
            "telephone_number": "704-325-9162",
            "fax_number": "704-746-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERNER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A",
        "authorized_official_last_name": "STERNER",
        "authorized_official_first_name": "JAVIN",
        "authorized_official_middle_name": "TYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-325-9162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.