Ervin Stedjee, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

800 Riverside Dr
Waupaca, WI 54981-1943

Phone

(715) 258-1053

NPI assigned

Mar 8, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1932809969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROVER SIDE DR 902 BUILDING",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "54981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811943",
            "telephone_number": "715-258-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDJEE",
        "first_name": "ERVIN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Soto, MD
• James P Spencer, MD
• Bonnie J Sperberg, P.T.
• Spine and Sport Physical Therapy of Waupaca LLC
• Emily H. Stafslien, SLP
• Karen Stern, H.I.S
• Stratton Drug Inc
• Al Strobusch, MD
• Micah David Strong
• Elissa L Stults, LMFT

• Physical Therapy Assistant in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.