DR. LAURA MARIE STAILEY (PT, DPT) – Physical Therapist, NPI 1164315628

DR. LAURA MARIE STAILEY (PT, DPT) is a healthcare provider. based in Danville, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT308073 (CA). The NPI Number for DR. LAURA MARIE STAILEY (PT, DPT) is 1164315628

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. LAURA MARIE STAILEY (PT, DPT)
NPI
1164315628
Phone
(925) 407-6112
Address
315 DIABLO RD STE 110
Enumeration Date
2 June 2025
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9258558343
Graduation Year
2025 (1 year ago)
PAC ID
9537660113
Group Practice PAC ID
2163317025
Professional Enrollment ID
I20250827002326
Address ID
CA945263409DA315XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. LAURA MARIE STAILEY (PT, DPT)

  • 315 DIABLO RD STE 110

    DANVILLE, CA 945263409

    Phone: (925) 407-6112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250827002326IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163317025View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeCA
-NY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How is DR. LAURA MARIE STAILEY (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists DR. LAURA MARIE STAILEY (PT, DPT) with NPI 1164315628.
Does the file indicate DR. LAURA MARIE STAILEY (PT, DPT) is practicing under active NPI?
Directory data currently reports DR. LAURA MARIE STAILEY (PT, DPT) as active.
What is DR. LAURA MARIE STAILEY (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for DR. LAURA MARIE STAILEY (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What area does DR. LAURA MARIE STAILEY (PT, DPT) serve?
DR. LAURA MARIE STAILEY (PT, DPT)'s listing highlights Danville, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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