Provider Demographics
NPI:1760420566
Name:STERNEN PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:STERNEN PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STERNEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:216-410-4964
Mailing Address - Street 1:23811 CHAGRIN BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5555
Mailing Address - Country:US
Mailing Address - Phone:216-682-0413
Mailing Address - Fax:216-682-0417
Practice Address - Street 1:23811 CHAGRIN BLVD STE 120
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5555
Practice Address - Country:US
Practice Address - Phone:216-682-0413
Practice Address - Fax:216-682-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000169169OtherANTHEM
OH2367380Medicaid
OH6490081OtherUNITED HEALTHCARE
OH=========00OtherWORKERS COMPENSATION
OH000000169169OtherANTHEM