Travis Ryan Stafford, DPT | |
2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 | |
(479) 442-7473 | |
(479) 239-5444 |
Full Name | Travis Ryan Stafford |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 2668 E Citizens Dr Ste 5, Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538651393 | NPI | - | NPPES |
200772810A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5292 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rise Physical Therapy Inc | 9133400203 | 22 |
Provider Name | Rise Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851743009 PECOS PAC ID: 9133400203 Enrollment ID: O20171026001543 |
Mailing Address | Practice Location Address |
---|---|
Travis Ryan Stafford, DPT 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 Ph: (479) 442-7473 | Travis Ryan Stafford, DPT 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703-4796 Ph: (479) 442-7473 |
Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780 | |
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639 | |
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220 | |
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394 | |
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711 |