Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Stauth, PT

Individual provider Physical Therapist · NPI 1164452231

Brent Stauth, PT is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 1997, 29 years ago. Practices with Advanced Physical Therapy LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
29
Licensed in
IN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6727 Everglades Ct
Indianapolis, IN 46217-3920
Phone: (480) 603-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05014664A (IN)

Record details

NPI number1164452231
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 4, 2006
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Advanced Physical Therapy Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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