Mary S Stanford, P.T., O.C.S.

Primary specialty

Ergonomics Physical TherapistTaxonomy code 2251E1200X

License

PT19301 Issued in CA

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanford and Associates Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Big Bear Lake, CA
  • NPI 1245296367

  Ergonomics

  NPD (past) Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396701355",
    "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": {
        "last_name": "STANFORD",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT19301",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT19301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Solis
• Soothing Canna Mobile Massage
• Annemieke Stalcup
• Stanford and Associates Physical Therapy, Inc.
• James P Stanford, P.T., D.P.T.
• Melissa Ann Staricka, N.P.
• Paul F. Stemmer, MD
• Louanne Strickland, MFT
• Shonda Lyn Szabo
• Brian Eijiro Tabata, PA-C

• Physical Therapist in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.