Sara Jinane Stafford, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007009A Issued in IN

Practice address

1100 Joliet St
Ste 105
Dyer, IN 46311-1996

Phone

(219) 864-3300

Fax

(219) 864-2567

NPI assigned

Jul 27, 2006

Last updated

May 31, 2016By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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.

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  Physical Therapist

  NPD
• Orthopaedic Specialists of Northwest Indiana PC

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1497865794
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1669486833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOLIET ST",
            "address_2": "STE 105",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111996",
            "telephone_number": "219-864-3300",
            "fax_number": "219-864-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SARA",
        "middle_name": "JINANE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007009A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Margaret Mercy Healthcare Centers, Inc (Ear Nose and Throat Clinic)
• St Margaret Mercy Healthcare Centers, Inc. (Dyer Childrens Services)
• St Margaret Mercy Healthcare Centers, Inc. (Fetal Medicine Clinic)
• St Margaret Mercy Healthcare Centers, Inc. (Physician Outpatient Clinic)
• St. Margaret Mercy Healthcare Centers Inc (St. Margaret Mercy Anesthesia Services)
• Sarah Stancik
• Claire Therese Starcevich, SLP
• Ewelina Maria Staszel, NP
• Julie Ann Stein, FNP-C
• Rachel Lauryn Stelmach, SLP

• Physical Therapist in Dyer, IN
• Providers in Dyer, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.