MARY S STANFORD, P.T., O.C.S. — NPI 1396701355 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Ergonomics in BIG BEAR LAKE, CA)

CMS-1500 Box 24J / 33a • NPI

1396701355

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2251E1200X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Ergonomics

Box 32 Service Location & ZIP+4

42007 FOX FARM RD., SUITE #2, BIG BEAR LAKE, CA, 92315

Official NPPES Practice Location

Practice Phone & Referral Fax

(909) 866-6202

Fax: (909) 866-6203

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396701355 (MARY S STANFORD, P.T., O.C.S.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396701355` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARY S STANFORD, P.T., O.C.S.
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Ergonomics NUCC Code: `2251E1200X` (Physical Therapist, Ergonomics)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	42007 FOX FARM RD., SUITE #2, BIG BEAR LAKE, CA, 92315
Practice Telephone / Fax	Tel: (909) 866-6202 \| Fax: (909) 866-6203
Administrative Mailing Address	PO BOX 1928, BLUE JAY, CA, 92317-1928
Enumeration & Last Sync	Enumerated: 2006-04-26 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

42007 FOX FARM RD., SUITE #2, BIG BEAR LAKE, CA, 92315

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Plain-English Taxonomy & CMS Crosswalk (2251E1200X)

What Does Taxonomy Code 2251E1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2251E1200X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Ergonomics"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist, Ergonomics for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARY S STANFORD, P.T., O.C.S.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2251E1200X` — Physical Therapist, Ergonomics Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Ergonomics	State: CA \| License: `PT19301` \| Primary: Yes (Primary)
`2251X0800X` — Physical Therapist, Orthopedic Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic	State: CA \| License: `PT19301` \| Primary: Secondary

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MARY S STANFORD, P.T., O.C.S. (NPI #1396701355)