Kevin A Stafford, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024604 Issued in NY

Practice address

20 Walnut St
Suite B
Montgomery, NY 12549-2260

Phone

(845) 457-5555

Fax

(845) 457-5556

NPI assigned

Jun 23, 2006

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Access PT, OT, New York, PLLC

  • Physical Therapist
  • New City, NY
  • NPI 1831539493
  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Catskill Orange Orthopaedics,PC

  • Orthopaedic Surgery Physician
  • Ferndale, NY
  • NPI 1033151535
  NPD (past)
• Prime Care Physical Therapy, P.C.

  • Physical Therapist
  • Goshen, NY
  • NPI 1538372651
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)
• Encompass Health Rehabilitation Hospital of Florence, Inc.

  • Rehabilitation Hospital
  • Florence, SC
  • NPI 1598738296
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1720014822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492260",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492260",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Seah
• Trace Seah
• Jakob W Smit, ATS
• Denise Smith
• Vincent A Spizzo, LCSWR
• Jennifer M Stahli
• Bianca Staples
• Kerry Steed
• Denise Lynn Stewart, MA, LMHC
• Jacqueline Stika

• Physical Therapist in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.