Individual provider Active NPI

Joseph Taylor Stofferahn, DPT, PT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1003489220
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06856 Issued in KS
Practice address
10400 W 103Rd St Ste 22
Overland Park, KS 66214-2664
Phone
(913) 322-4000
NPI assigned
Jul 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06856 KS Primary

Addresses

Primary practice location

10400 W 103Rd St Ste 22
Overland Park, KS 66214-2664

Mailing address

6100 W 137TH St Apt 9410
Overland Park, KS 66223-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105002096 KS Practitioner - Physical Therapist in Private Practice 3779972146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Strategies Physical Therapy PAGroup PAC ID 9537264080, 9 clinicians

Practice addresses (Care Compare)

10400 W 103Rd St
Suite 22
Overland Park, KS 66214-2664
Phone (913) 322-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06856KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Strategies Physical Therapy, PA CurrentSince Jul 21, 2021 Accepting new patients
Core Strategies PastSince Jul 21, 2021 Accepting new patients

Locations

10400 W 103rd St
Ste 22
Overland Park, KS 66214
Phone (913) 322-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1003489220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 137TH ST APT 9410",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST STE 22",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142664",
            "telephone_number": "913-322-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFERAHN",
        "first_name": "JOSEPH",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.