TRACY L STURDEVANT (PT) – Physical Therapist, NPI 1487644605

TRACY L STURDEVANT (PT) is a healthcare provider. based in Niles, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-6124 (OH). The NPI Number for TRACY L STURDEVANT (PT) is 1487644605

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
TRACY L STURDEVANT (PT)
NPI
1487644605
Phone
(330) 652-2403
Address
950 YOUNGSTOWN WARREN RD
Enumeration Date
27 October 2005
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2342553485
Graduation Year
1992 (34 years ago)
PAC ID
0749237915
Group Practice PAC ID
2860884319
Professional Enrollment ID
I20050331000613
Address ID
OH444842434WA525XXSEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for TRACY L STURDEVANT (PT)

  • 950, Youngstown Warren Road, Ekerts Corners, Niles, Trumbull County, Ohio, 44446, United States

    SUITE C

    NILES, OH 444464644

    Phone: (330) 652-2403

    Fax: (330) 652-2409

    Type: Location

  • 320, East Market Street, Warren Commercial Historic District, Warren, Trumbull County, Ohio, 44481, United States

    WARREN, OH 444811206

    Phone: (330) 399-2221

    Fax: (330) 394-0122

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050331000613IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,94845$0
97162Evaluation for physical therapy, typically 30 minutes1918$0
97161Evaluation for physical therapy, typically 20 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 44446)

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Provider's Procedures

TRACY L STURDEVANT (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes256271

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860884319View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is TRACY L STURDEVANT (PT)'s NPI number?
TRACY L STURDEVANT (PT)'s NPI is 1487644605 — the number used across U.S. healthcare to identify this provider.
Would TRACY L STURDEVANT (PT) appear as active to a payer?
You can treat TRACY L STURDEVANT (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TRACY L STURDEVANT (PT)?
TRACY L STURDEVANT (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TRACY L STURDEVANT (PT) located near Niles?
TRACY L STURDEVANT (PT) currently maps to Niles, Ohio in this extract.
When was this NPI issued?
Enumeration for TRACY L STURDEVANT (PT) is noted as October 27, 2005 where the registry provides it.

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