Organization Active NPI

Stanford and Associates Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Big Bear Lake, CA
National Provider Identifier
1245296367
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT26941 Issued in CA
Legal business name
STANFORD AND ASSOCIATES PHYSICAL THERAPY, INC.
Practice address
42007 Fox Farm Rd.
Suite #2
Big Bear Lake, CA 92315
Phone
(909) 866-6202
Fax
(909) 866-6203
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary S Stanford, P.T., O.C.S.NPI 1396701355
Title
President
Phone
(909) 866-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1200X PT19301 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT19301 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT26941 CA Primary

Addresses

Primary practice location

42007 Fox Farm Rd.
Suite #2
Big Bear Lake, CA 92315

Mailing address

PO Box 1928
Blue Jay, CA 92317-1928
Phone (909) 866-6202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245296367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923171928",
            "telephone_number": "909-866-6202",
            "fax_number": "909-866-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42007 FOX FARM RD.",
            "address_2": "SUITE #2",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-6202",
            "fax_number": "909-866-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD AND ASSOCIATES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-866-6202",
        "authorized_official_credential": "P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT19301",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT19301",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.