Bruce John Roy Stroud, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00484600 Issued in NJ

Practice address

200 Tuckerton Rd
Suite # 17
Medford, NJ 08055-8806

Phone

(856) 396-2250

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bruce Stroud Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Atlantic Orthopedic & Sports Physical Therapy PC

  • Physical Therapist
  • Hammonton, NJ
  • NPI 1497701452
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1902950264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SAXONY CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558531",
            "telephone_number": "609-257-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TUCKERTON RD",
            "address_2": "SUITE # 17",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558806",
            "telephone_number": "856-396-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "BRUCE",
        "middle_name": "JOHN ROY",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00484600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "STROUD",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michele M Stinger-Uhl, O.D.
• Andrew P Stone, DDS
• Michele Strauss, PT
• Carlie Strazzullo, PT, DPT
• Joseph Strazzullo, DPT
• Stuart H. Levy, D.D.S., PA
• Erica Suarez
• Suburban Family Dental PC
• Sullivan Medical Equipment Co., Inc.
• Justine Sullivan, C.R.N.F.A.

• Physical Therapist in Medford, NJ
• Providers in Medford, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.