Scott Michael Stouffer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE005455L Issued in PA

Practice address

701 Slate Belt Blvd
Bangor, PA 18013-9341

Phone

(610) 599-1454

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1629277496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 LUTHER LN",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648865",
            "telephone_number": "484-553-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SLATE BELT BLVD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139341",
            "telephone_number": "610-599-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUFFER",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE005455L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anatoly Smolyansky, DDS
• Marissa Spencer, LMT
• St Luke's Physician Group, Inc (St. Luke's Bangor Primary Care)
• St. Luke's Physician Group, Inc. (St. Luke's Internal Medicine Bangor)
• Beth Ann Sterner
• Stratum of PA PC
• Stratum of Pennsylvania PC
• Alexander Szoke-Benton
• Ruthanne Taggart, MSW, CADC
• Vaghenag Vahe Tarpinian, MD

• Physical Therapy Assistant in Bangor, PA
• Providers in Bangor, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.