Healthcare Provider Details

I. General information

NPI: 1750100624
Provider Name (Legal Business Name): ALEXANDER STRADLING PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PIT RD
BROWNSBURG IN
46112-7830
US

IV. Provider business mailing address

105 AMKEY WAY
CARMEL IN
46032-5168
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-6040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05015183A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: