Peter Stafford, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05006990A Issued in IN

Practice address

11450 Broadway
Crown Point, IN 46307-7106

Phone

(219) 488-0157

Fax

(219) 661-2502

NPI assigned

Jul 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Therapy Practice, PC

  • Physical Therapy Clinic/Center
  • Hobart, IN
  • NPI 1922033083

  Physical Therapist

  NPD (past)
• Performance Physical Therapy of Merrillville

  • Physical Therapy Clinic/Center
  • Merrillville, IN
  • NPI 1932156593
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1962436675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-488-0157",
            "fax_number": "219-661-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-488-0157",
            "fax_number": "219-661-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "PETER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006990A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Anthony Medical Center
• St Anthony Medical Center
• St Mary Medical Center Inc
• St. Anthony Health Network, LLC
• St. Anthony Medical Center Care Coordination
• Joyce Stamiris, FNP-BC
• Aurora Star
• Eric Neil Steinberg, M.D.
• Madalyn May Steinke
• Jordan N Stemer - Miranda, PA

• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.