Active NPI
Scott A Stauffer, MPT
- Physical Therapist
- Big Rapids, MI
National Provider Identifier
1992274567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012839
- Practice address
- 203 S State St
Big Rapids, MI 49307-1758 - Phone
- (231) 629-8665
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012839 | MI | Primary |
Addresses
Primary practice location
203 S State St
Big Rapids, MI 49307-1758
Mailing address
6840 Abrahamson Rd
Ludington, MI 49431-9402
Phone (386) 848-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012839 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1992274567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 ABRAHAMSON RD",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494319402",
"telephone_number": "386-848-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493071758",
"telephone_number": "231-629-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.