Stafford Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305003039 Issued in VA

Legal business name

STAFFORD PHYSICAL THERAPY, INC.

Practice address

572 Garrisonville Rd
Stafford, VA 22554-3702

Phone

(540) 659-6408

Fax

(540) 659-6445

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Peter John HorricksNPI 1902939689

Title

Owner

Phone

(540) 659-6408

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter John Horricks, P.T.

  • Physical Therapist
  • Stafford, VA
  • NPI 1902939689
  Medicare reassignment Care Compare group NPD Authorized official
• Taylor John Horricks, PT, DPT

  • Orthopedic Physical Therapist
  • Stafford, VA
  • NPI 1912419854
  Medicare reassignment Care Compare group NPD
• Ryan Matthew Scott, DPT

  • Physical Therapist
  • Stafford, VA
  • NPI 1285981746
  NPD
• Bryan Leake, PT, DPT

  • Physical Therapist
  • Stafford, VA
  • NPI 1790264356
  NPD (past)
• Travis A Lore, PT

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1942289400
  NPD (past)
• Carla Boelte Richardson, VATL, ATC

  • Athletic Trainer
  • Stafford, VA
  • NPI 1588875959
  NPD (past)
• Nicole A Smith, M.S.P.T.

  • Physical Therapist
  • Stafford, VA
  • NPI 1710027529
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1114239498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "GARRISONVILLE",
            "state": "VA",
            "postal_code": "224630588",
            "telephone_number": "540-659-6408",
            "fax_number": "540-659-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543702",
            "telephone_number": "540-659-6408",
            "fax_number": "540-659-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "HORRICKS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-659-6408"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305003039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CMS",
            "identifier": "1902939689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stafford Massage Center LLC
• Stafford Neurology
• Stafford Optometry, LLC
• Stafford Oral Surgery P.C.
• Stafford Pediatrics, P.C.
• Stafford Primary Care Associates, Inc.
• Stafford Surgical, P.C.
• Stafford Urgent Care, Inc.
• Stafford Womens Health Associates
• Achonti Stanley

• Physical Therapy Clinic/Center in Stafford, VA
• Providers in Stafford, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.