Fray & Stafford Physical Therapy, Co

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FRAY & STAFFORD PHYSICAL THERAPY, CO

Practice address

3204 S Hopkins Ave
Titusville, FL 32780-5667

Phone

(321) 458-1255

Fax

(321) 339-1929

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Nathan Stafford, DPTNPI 1457824732

Title

Ceo

Phone

(321) 458-1255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Nathan Stafford, DPT

  • Physical Therapist
  • Titusville, FL
  • NPI 1457824732
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Fray, PT, DPT

  • Physical Therapist
  • Titusville, FL
  • NPI 1619597135
  Medicare reassignment Care Compare group NPD
• Theresa A Moccio, D.P.T.

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1639450893
  Medicare reassignment Care Compare group NPD
• Kelly Jeanne Dorsey, P.T.

  • Physical Therapist
  • Titusville, FL
  • NPI 1598859670
  Medicare reassignment NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1265103154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805667",
            "telephone_number": "321-458-1255",
            "fax_number": "321-339-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805667",
            "telephone_number": "321-458-1255",
            "fax_number": "321-339-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAY & STAFFORD PHYSICAL THERAPY, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-458-1255",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• For Sight Optical
• Joseph P Ford, MD
• Tera Foust, APRN
• Spring Joy Francoeur, LMT
• Frank T Dienst MD PA
• Robert Fray, PT, DPT
• Fred and Linda Kodesch, MDS
• Mallory Freeman
• Vivian Mashell Freeman, M.A.
• Anita Frost-Lindenblad, ARNP

• Physical Therapy Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.