Austin Stoddard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8373 Issued in ID

Practice address

1263 Bennett Ave Ste 2
Burley, ID 83318-4906

Phone

(208) 678-1191

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Burley Physical Therapy and Rehabilitation

  • Physical Therapy Clinic/Center
  • Burley, ID
  • NPI 1669530051
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1073222659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 BENNETT AVE STE 2",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833184906",
            "telephone_number": "208-678-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 BENNETT AVE STE 2",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833184906",
            "telephone_number": "208-678-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669530051",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sterling Medical LLC
• Sterling Provider Group
• Stock & Garn LLP
• Kevin Turner Stock, D.D.S.
• Stoddard & Bingham Medical PLLC (Idaho Skin Institute)
• Stokes Pharmacy,Inc
• Scott Cory Stuart, PA-C
• Michael Bryson Stucki, DDS
• Tayne a Peterson DMD PLLC (Burley Family Dental)
• Hannah Terra

• Physical Therapist in Burley, ID
• Providers in Burley, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.