NPIMap

Organization Active NPI

Stafford Healthcare Group

  • Physical Therapy Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1891194668
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
23066003140 Issued in VA
Legal business name
STAFFORD HEALTHCARE GROUP
Practice address
5886 Picadilly CT
Woodbridge, VA 22193-3802
Phone
(703) 878-2250
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ian Andrew Peuterbaugh, LPTA
Title
Physical Therapist Assistant
Phone
(703) 878-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 23066003140 VA Primary

Addresses

Primary practice location

5886 Picadilly CT
Woodbridge, VA 22193-3802

Mailing address

5886 Picadilly CT
Woodbridge, VA 22193-3802
Phone (703) 878-2250

National Provider Directory

National Provider Directory
Tax ID family
Falls Run Nursing and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1891194668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 PICADILLY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933802",
            "telephone_number": "703-878-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 PICADILLY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933802",
            "telephone_number": "703-878-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "PEUTERBAUGH",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "703-878-2250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "23066003140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.