Active NPI
Christian Paul Stafford, PT, DPT
- Physical Therapist
- Covington, LA
National Provider Identifier
1043882137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08847
- Practice address
- 70367 S Tyler St Suite 200, #21
Covington, LA 70433 - Phone
- (985) 590-3303
- NPI assigned
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08847 | LA | Primary |
Addresses
Primary practice location
70367 S Tyler St Suite 200, #21
Covington, LA 70433
Mailing address
414 Cranberry Dr
Terrytown, LA 70056-2777
Phone (504) 236-2341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08847 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1043882137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 CRANBERRY DR",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700562777",
"telephone_number": "504-236-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70367 S TYLER ST SUITE 200, #21",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-590-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "CHRISTIAN",
"middle_name": "PAUL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- St. Tammany Parish Hospital Service District No 1
- St. Tammany Parish Hospital Service District No 1
- St. Tammany Parish School Board
- St. Tammany Periodontics & Implants LLC
- Albert R St.Pierre Jr., D.D.S.
- Paul F Stahls III, MD
- Dale Ellen Standifer, LCSW
- Stacey Penick Standridge, NP
- Charles Zachary Staples, D.D.S.
- Star Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.