Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jody Lynn Stafford, DPT, MOT, MTC, CEAS

Individual provider Physical Therapist · NPI 1982758694

Jody Lynn Stafford, DPT, MOT, MTC, CEAS is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2001, 25 years ago. Practices with Advanced Manuel Therapy Institute 1 LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
25
Licensed in
NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2625 W Horizon Ridge Pkwy #120
Henderson, NV 89052-2896
Phone: (702) 896-0383
Fax: (702) 889-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0663 (NV)
Physical Therapist Taxonomy 225100000X · Licence 1719 (NV)

Record details

NPI number1982758694
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , MOT , MTC , CEAS
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Advanced Manuel Therapy Institute 1 Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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