Daren A Stafford, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2466 Issued in ID

Practice address

280 E Jackson St
Mountain Home, ID 83647-2708

Phone

(208) 991-8487

NPI assigned

Nov 26, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Kismet PC

  • Physical Therapist
  • Mountain Home, ID
  • NPI 1881118941
  Medicare reassignment Authorized official
• ZRJ Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1639365323
  NPD (past)

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1447431051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E JACKSON ST",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472708",
            "telephone_number": "208-590-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E JACKSON ST",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472708",
            "telephone_number": "208-991-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "DAREN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2582",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• Christopher Stainberg
• Brian J Stanton, PT, DPT
• Weston Stanworth
• Richard Frederick Starkey, MD
• Chad Robert Steele, DENTAL HYGIENIST

• Physical Therapist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.