Seth Andrew Stafford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004477A Issued in IN

Practice address

329 Rainbow Dr
Kokomo, IN 46902-3869

Phone

(765) 455-1700

NPI assigned

Jan 12, 2013

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": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1649517509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 RAINBOW DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 RAINBOW DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023869",
            "telephone_number": "765-455-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SETH",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004477A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Health Wellness and Preventive Care Institute, Inc.
• St. Vincent Health Wellness and Preventive Care Institute, Inc.
• St. Vincent Hospice - Anderson LLC
• St. Vincent Medical Group, Inc.
• Dejah Stafford, RBT
• Desiree Stage
• Laura Elizabeth Stage, M.D.
• Jazmine Kasandra Stahlman
• Sarah Stallons
• Jenna Stamps

• Physical Therapy Assistant in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.