Active NPI
Rachael Lynn Stafford, PT
- Physical Therapist
- Kingwood, TX
National Provider Identifier
1275747867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1194470
- Practice address
- 601 Rockmead Drive
Kingwood, TX 77339 - Phone
- (281) 359-5115
- Fax
- (281) 312-3831
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1194470 | TX | Primary |
Addresses
Primary practice location
601 Rockmead Drive
Kingwood, TX 77339
Mailing address
601 Rockmead Dr
Kingwood, TX 77339-2107
Phone (713) 814-2530
Other names 1
- Rachael Lynn O'Bryon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachael.stafford@memorialhermann.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1275747867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ROCKMEAD DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392107",
"telephone_number": "713-814-2530",
"fax_number": "713-704-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ROCKMEAD DRIVE",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "77339",
"telephone_number": "281-359-5115",
"fax_number": "281-312-3831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "RACHAEL",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1194470",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachael.stafford@memorialhermann.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "601 Rockmead Drive",
"city": "Kingwood",
"state": "TX",
"country_code": "US",
"postal_code": "77339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "O'BRYON",
"middle_name": "LYNN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.