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

Individual provider Physical Therapist · NPI 1972162386

Timothy Stauder, DPT is a Physical Therapist in Private Practice in Wantagh, New York. Qualified in 2019, 7 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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

1169 Wantagh Ave
Wantagh, NY 11793-2136
Phone: (516) 785-4800
Fax: (516) 785-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045159 (NY)

Record details

NPI number1972162386
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESDecember 4, 2019
Mailing address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wantagh