Individual provider Active NPI

Jonathan Douglas Stoddard, PT

  • Physical Therapist
  • Bedford, TX
National Provider Identifier
1124116546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1161585 Issued in TX
Practice address
1940 Bedford Rd
Bedford, TX 76021-5707
Phone
(817) 283-9435
Fax
(817) 571-4198
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1161585 TX Primary

Addresses

Primary practice location

1940 Bedford Rd
Bedford, TX 76021-5707

Mailing address

5541 Murton PL
Fort Worth, TX 76137-3763
Phone (817) 514-9127

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161585TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barkman & Smith Physical Therapy PC Physical Therapist Current Accepting new patients
The Morelan Group, Inc Physical Therapist Past Accepting new patients

Locations

1940 Bedford Rd
Bedford, TX 76021
Phone (817) 283-9435

2940 N O Connor Rd
Ste 113
Irving, TX 75062
Phone (877) 893-9539

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124116546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 MURTON PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373763",
            "telephone_number": "817-514-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215707",
            "telephone_number": "817-283-9435",
            "fax_number": "817-571-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "JONATHAN",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1161585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.