Individual provider Active NPI

Claire Gaisford Stowell, MSPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1962675546
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34091 Issued in CA
Practice address
5072 Stone Canyon Ave
Yorba Linda, CA 92886-4313
Phone
(714) 337-4511
Fax
(714) 701-0814
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34091 CA Primary

Addresses

Primary practice location

5072 Stone Canyon Ave
Yorba Linda, CA 92886-4313

Mailing address

5072 Stone Canyon Ave
Yorba Linda, CA 92886-4313
Phone (714) 337-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000178 CA Practitioner - Physical Therapist in Private Practice 5496803355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Physical Therapy and Fitness IncGroup PAC ID 8224186184, 4 clinicians

Practice addresses (Care Compare)

5072 Stone Canyon Ave
Yorba Linda, CA 92886-4313
Phone (714) 337-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34091CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Physical Therapy and Fitness Inc Physical Therapist CurrentSince Feb 19, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1962675546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 STONE CANYON AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864313",
            "telephone_number": "714-337-4511",
            "fax_number": "714-701-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 STONE CANYON AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864313",
            "telephone_number": "714-337-4511",
            "fax_number": "714-701-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWELL",
        "first_name": "CLAIRE",
        "middle_name": "GAISFORD",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.