Timothy Staudmyer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216740 Issued in VA

Practice address

19775 Belmont Executive PLZ Ste 125
Ashburn, VA 20147-7606

Phone

(571) 498-7752

NPI assigned

Sep 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity Performance PT PLCGroup PAC ID 8426440421, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinity Performance PT PLC

  • Orthopedic Physical Therapist
  • Ashburn, VA
  • NPI 1427718006

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1083440309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33808 DARLINGTON ST",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199589447",
            "telephone_number": "301-535-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19775 BELMONT EXECUTIVE PLZ STE 125",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477606",
            "telephone_number": "571-498-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDMYER",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uma M Sridhar, RD,CDE
• Staci M Bostic, LCSW
• Michelle Anne Stanley, PMHNP
• Nicole Stanowski, RD, CDE
• Lauren Beth Starace
• Ruth Sumathi Stephen, PSY.D.
• Michelle Adele Stephenson
• Sterling Behavioral Health Services
• Lorie Sterling, RBT
• Angela Stevens, COTA

• Physical Therapist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.