Active NPI
Stanley Pyfrom, PTA
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1073508859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 307
- Practice address
- 602 S Howard Ave
Tampa, FL 33606-2413 - Phone
- (813) 253-2406
- Fax
- (813) 251-4290
- NPI assigned
- Sep 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA526 | FL | |
| Athletic Trainer | 2255A2300X | AL 307 | FL | Primary |
Addresses
Primary practice location
602 S Howard Ave
Tampa, FL 33606-2413
Mailing address
602 S Howard Ave
Tampa, FL 33606-2413
Phone (813) 253-2406
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA526 | FL | MD | Physical Therapy Assistant |
| AL 307 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073508859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S HOWARD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062413",
"telephone_number": "813-253-2406",
"fax_number": "813-251-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 S HOWARD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062413",
"telephone_number": "813-253-2406",
"fax_number": "813-251-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYFROM",
"first_name": "STANLEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA526",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.