Rebecca Stanford

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160007985 Issued in IL

Practice address

431 Remington Blvd
Bolingbrook, IL 60440-4918

Phone

(630) 759-1112

NPI assigned

Apr 24, 2022

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

Other identifiers 1

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": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1851035067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17008 W 147TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416203",
            "telephone_number": "815-931-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404918",
            "telephone_number": "630-759-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "160007985",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Sperling, LPC
• Melissa Suzanne Spoula, O.D.
• Sri Medical Care SC
• Deepa Sridhar, DMD
• Morgan Tamia Stafford
• Sandra Starkovich, PT
• Starlight Therapy Services Limited
• Joanna Staszel, RPH
• Loreta Stavskiene, M.S., L.C.P.C., LMHC
• Richard R Stedman, PHARM D.

• Physical Therapy Assistant in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; 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.