Thomas Dennis Staton, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4114 Issued in NM

Practice address

5130 San Francisco Rd NE Ste B
Albuquerque, NM 87109-4618

Phone

(505) 823-2411

NPI assigned

Jul 6, 2011

Last updated

Dec 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainbows Promise Therapies IncGroup PAC ID 9931197894, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rainbow's Promise Therapies, Inc.

  dba Bear Canyon Therapy Associates

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1972679272
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1528355997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SAN FRANCISCO RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094618",
            "telephone_number": "505-823-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SAN FRANCISCO RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094618",
            "telephone_number": "505-823-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "THOMAS",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of the Heart Recovery Inc.
• Ruby Staten
• Stateserv Medical of New Mexico LLC
• Abigail Statkus
• Statmed LLC (Torre D. Near)
• Anne T Stats, RN
• Ursula Elsie Stauber, M.D.
• Karen Stauch, SLP
• Constance Stauffacher, LMT
• Alexandra Stauter

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.