Active NPI
Robert Stanton, DPT
- Physical Therapist
- Lake Worth, FL
National Provider Identifier
1295102010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30747
- Practice address
- 6169 S Jog Rd
A-11
Lake Worth, FL 33467-6579 - Phone
- (561) 432-0111
- Fax
- (561) 432-1075
- NPI assigned
- Aug 27, 2015
- Sex
- Male
- 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 | 30747 | FL | Primary |
Addresses
Primary practice location
6169 S Jog Rd
A-11
Lake Worth, FL 33467-6579
Mailing address
635 Anderson Cir
Apt 204
Deerfield Beach, FL 33441-7784
Phone (845) 505-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016189300 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30747 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1295102010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 ANDERSON CIR",
"address_2": "APT 204",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334417784",
"telephone_number": "845-505-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 S JOG RD",
"address_2": "A-11",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676579",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-27",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "30747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016189300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.