Individual provider Active NPI

Staci L Stoffel, DPT

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1477617900
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028656 Issued in NY
Practice address
5760 Commons Park
East Syracuse, NY 13057-9400
Phone
(315) 251-0040
NPI assigned
Dec 20, 2006
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028656 NY Primary

Addresses

Primary practice location

5760 Commons Park
East Syracuse, NY 13057-9400

Mailing address

5760 Commons Park
East Syracuse, NY 13057-9400
Phone (315) 251-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000262 NY Practitioner - Physical Therapist in Private Practice 5496843237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians
West Side Physical Therapy, PCGroup PAC ID 0547223836, 7 clinicians

Practice addresses (Care Compare)

1398 Route 5 W
Chittenango, NY 13037-8763
Phone (315) 510-3372

315 Bridge St
Syracuse, NY 13209-1505
Phone (315) 484-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients
West Side Physical Therapy, PC Physical Therapist CurrentSince Jan 7, 2019 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

1398 State Route 5
Chittenango, NY 13037
Phone (315) 510-3372

315 Bridge St
Syracuse, NY 13209
Phone (315) 484-9447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1477617900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-251-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-251-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEL",
        "first_name": "STACI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.