Richard Emil Stanford Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1166920 Issued in TX

Practice address

11335 SSG Sims
Ft Bliss, TX 79918

Phone

(915) 742-1152

NPI assigned

Feb 7, 2017

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Border Therapy Services LLCGroup PAC ID 1355421181, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Border Therapy Services LLC

  dba Border Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1871650598
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1447798749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS",
            "city": "FT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "RICHARD",
        "middle_name": "EMIL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1166920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zomaria Spearman
• Casey Andrew Spell, MD
• Ally E Spohn
• Jasmine Stancil, OTR/L
• Richard William Standage, DMD
• Logan Steiert
• Anastasia Stigall, ATC/L, LMT
• Joshua Charles Stpeter, PA-C
• Kevin Matthew Struble
• Pimporn Subudom, DENTAL HYGIENIST

• Physical Therapist in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.