Thomas Stampfer White

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30639 Issued in AZ

Practice address

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648

Phone

(610) 401-1926

NPI assigned

May 16, 2019

Sex

Male

Sole proprietor

Yes

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Orthopedic Institute LLCGroup PAC ID 1052316445, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.06 of 100Reported as group

Quality

68.27

Promoting interoperability

100

Improvement activities

40

Cost

78.59

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 and National Provider Directory roles.

• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1275564916

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Lakeside Orthopedic Institute LLC

  dba Lakeside CT

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1528870243
  NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1720644537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 CROSSCUT DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041448",
            "telephone_number": "610-401-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035648",
            "telephone_number": "610-401-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THOMAS",
        "middle_name": "STAMPFER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Arizona Cardiovascular Surgery PLLC
• Western Arizona Foot & Ankle
• Western Regional Neurology, LLC
• Matthew James Wetzel
• Kristy M Whelan, DO
• Megan SK Wiese, MD
• Joni Wiggins
• Ruth Ellen Wilcox, LMFT
• Floyd Wilks Jr., MD
• Jan Susan Williams, MS LPC

• Physical Therapist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.