Austin Sturdivant, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7711 W Riverside Dr
Boise, ID 83714-6182

Phone

(208) 813-9544

Fax

(208) 810-4499

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1730732025
  Medicare reassignment Care Compare group NPD
• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Logan, UT
  • NPI 1770317455
  NPD

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1912518275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 401",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-969-9945",
            "fax_number": "208-944-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-813-9544",
            "fax_number": "208-810-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVANT",
        "first_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert V. Studebaker, D.D.S.
• David C Stuesse, MD
• Sarah H Stuhr, P.T.
• Sadie Briar Stultz
• Susan Kay Stumph, PH.D.
• Isabella M Sturgeon, PHARMD
• Rhiannon Sturgess, LPC
• Olympia V Sturgis, DMSC, PA-C
• Corey Sturm, DPT
• Kimberly Kahler Stutzman, MD

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.