Stefan Dodd

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21488 Issued in FL

Practice address

14439 Mirabelle Vista Cir
Tampa, FL 33626-3345

Phone

(813) 924-6095

NPI assigned

Feb 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1104364942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 MIRABELLE VISTA CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14439 MIRABELLE VISTA CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263345",
            "telephone_number": "813-924-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "STEFAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21488",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2119400",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA0013550",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctors' Comprehensive Spine Center, Inc
• Adam Dodd, APRN
• Darrin David Dodd, CRNA
• Jasmine C. Dodd, M.S.CCC-SLP
• Kaylee Dodd
• Sarah Elizabeth Dodge, ARNP
• Linda E Dodson, RPH
• Brent Dody
• Levonia Gene Doe I, RRT
• Maci Doe

• Physical Therapy Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.