John Stavast, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

12427493-2401 Issued in UT

Practice address

526 W Center St Ste 105
Pleasant Grove, UT 84062-3359

Phone

(801) 899-3814

NPI assigned

May 10, 2016

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

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.

• PT Clinic

  • Physical Therapy Clinic/Center
  • Pleasant Grove, UT
  • NPI 1801620760
  NPD Authorized official
• Norco Inc.

  • Durable Medical Equipment & Medical Supplies
  • Blanding, UT
  • NPI 1780546028
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1982050894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W CENTER ST STE 105",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623359",
            "telephone_number": "801-899-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W CENTER ST STE 105",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623359",
            "telephone_number": "801-899-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVAST",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "12427493-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Academy
• Weston E. Spencer, M.D.
• Spinal Rehab of North County
• Zera Logan Staheli
• William Stasinis, DPT
• Steven F. McIff
• Michael Douglas Stirling III, PT, DPT
• Bret G Stoll, PMHNP
• Catherine Stonebraker, MOTR/L
• G Kelli Stout, CSW

• Orthopedic Physical Therapist in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.