Brookelyn Mikelle Stafford

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501304183 Issued in MI

Practice address

521 E Division St
Rockford, MI 49341-1376

Phone

(616) 866-6859

Fax

(616) 866-6897

NPI assigned

Nov 6, 2025

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Michigan Medical School, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Beyond Barriers RehabilitationGroup PAC ID 4880829738, 16 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Life Beyond Barriers Rehabilitation

  • Physical Therapy Clinic/Center
  • Rockford, MI
  • NPI 1487087300
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1861362824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WOODLAND CREEK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495128356",
            "telephone_number": "616-866-6859",
            "fax_number": "616-866-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411376",
            "telephone_number": "616-866-6859",
            "fax_number": "616-866-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BROOKELYN",
        "middle_name": "MIKELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee Rogue Spedoske
• Ronda Lynn Spencer-Streeter, IBCLC
• Meagan Spencer
• Taylor St John
• Deborah St Pierre, NP
• Janene Standfest
• Kailyn Standiford
• Sandra Marie Stanton, DC
• Brooke Anne Steele, BCBA-LBA
• Steven M Dater DDS and Associates PC

• Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.