Individual provider Active NPI

Andrea K Stouffer, DPT

  • Orthopedic Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1457424145
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 25319 Issued in CA
Practice address
Ucsb Student Health Building 588, M/C 7002
Santa Barbara, CA 93106-4231
Phone
(805) 893-3193
Fax
(805) 893-4887
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 25319 CA Primary

Addresses

Primary practice location

Ucsb Student Health Building 588, M/C 7002
Santa Barbara, CA 93106-4231

Mailing address

825 Cathedral Vista LN
Santa Barbara, CA 93110-4254
Phone (805) 687-3565

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 25319CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Comprehensive Outpatient Rehabilitation Facility Orthopedic PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1457424145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CATHEDRAL VISTA LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931104254",
            "telephone_number": "805-687-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSB STUDENT HEALTH BUILDING 588, M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931064231",
            "telephone_number": "805-893-3193",
            "fax_number": "805-893-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUFFER",
        "first_name": "ANDREA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 25319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.